Individual
KENIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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