Individual
MELANIE EDITH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3600 ROGER BROOKE DRIVE, SAN ANTONIO, TX 78234
(210) 916-9900
Mailing address
4803 HAMILTON WOLFE RD APT 120, SAN ANTONIO, TX 78229-4338
(210) 833-9353
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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