Individual
TERESA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 DIVISION ST NW, MANDAN, ND 58554-1641
(701) 751-6500
Mailing address
505 1/2 OTH ST NW, MANDAN, ND 58554
(701) 751-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1265
ND
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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