Individual
DR. DORELYS RAQUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
479 BASKING RIDGE CT, OCOEE, FL 34761-1721
(787) 319-6532
Mailing address
479 BASKING RIDGE CT, OCOEE, FL 34761-1721
(787) 319-6532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2130
PR
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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