Individual
CARLOS MIGUEL RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 859-0732
Mailing address
331 BELL ST TRLR 35, WILMINGTON, NC 28401-7623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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