Individual
ANDREA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
1852 SOUTH AVE W, MISSOULA, MT 59801-6510
(808) 341-4349
Mailing address
700 MARSHALL ST, MISSOULA, MT 59801-3616
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-51581
MT
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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