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Individual

DR. PAOLA PAGAN RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
335 NIBLEWILL PL, MARIETTA, GA 30066-8603
(787) 528-8038
Mailing address
335 NIBLEWILL PL, MARIETTA, GA 30066-8603
(787) 528-8038

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010707
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010707
LICENCE
GA
Enumeration date
03/08/2022
Last updated
03/08/2022
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