Individual
ANGEL LUIS RIVERA-FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2306 EMMONS RD, ALUM CREEK, WV 25003-8814
(813) 966-8502
Mailing address
2306 EMMONS RD, ALUM CREEK, WV 25003-8814
(813) 966-8502
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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