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Individual

ERIC SEAN RIVERA

Active
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Individual

ERIC SEAN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED DISPENSER

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F30549
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F03549
PA DEPT OF HEALTH
PA
05
F03549
PA
Enumeration date
07/31/2019
Last updated
07/31/2019
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