Individual
MRS. CARMEN LUZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 W 54TH ST, CLEVELAND, OH 44102-3319
(216) 407-4534
Mailing address
1435 W 54TH ST, CLEVELAND, OH 44102-3319
(216) 407-4534
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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