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Individual

ANGELA YVONNE RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
839 S HIGHWAY 19, PALATKA, FL 32177-9396
(386) 312-8309
Mailing address
839 S HIGHWAY 19, PALATKA, FL 32177-9396
(386) 312-8309

Taxonomy

Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
MA41062
FL

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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