Individual
GABINO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 S 119TH ST, OMAHA, NE 68144-1606
(505) 221-3586
Mailing address
1320 S 119TH ST, OMAHA, NE 68144-1606
(712) 242-5110
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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