Individual
ULDA ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2070 E BASELINE RD, PHOENIX, AZ 85042-6948
(602) 834-9071
(877) 541-4239
Mailing address
4700 MILLENIA BLVD STE 650, ORLANDO, FL 32839-6013
(407) 533-6836
(407) 232-9316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8636
AZ
Other
Enumeration date
10/25/2021
Last updated
12/04/2023
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