Individual
ALEXIS ANDRES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 DEWEY AVE, ELYRIA, OH 44035-3551
(440) 810-0467
Mailing address
503 DEWEY AVE, ELYRIA, OH 44035-3551
(440) 810-0467
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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