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Individual

JUAN RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
9917 INTRODUCTION WAY, ORLANDO, FL 32832-6598

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
07/14/2022
Last updated
07/14/2022
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