Individual
IRIS ANNETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
260101030759128
Contact information
Practice address
RR 4 BOX 616N, BAYAMON, PR 00956-9633
(787) 675-3381
Mailing address
RR 4 BOX 616N, BAYAMON, PR 00956-9633
(787) 675-3381
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
260101030759128
NJ
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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