Individual
MRS. MARY H RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 STONY CREEK RD, HADLEY, NY 12835-2011
(352) 277-6859
Mailing address
633 STONY CREEK RD, HADLEY, NY 12835-2011
(352) 277-6859
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
945521492
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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