Individual
JOSE ANTONIO RIVERA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 531-6005
Mailing address
203 DOGWOOD ST, CAMERON, SC 29030-9552
(803) 531-6005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00009
SC
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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