Individual
RAFAEL GUILLERMO RIVERA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 HIGH ST, PLYMOUTH, NH 03264-1595
(603) 535-5000
Mailing address
PO BOX 861, DANNEMORA, NY 12929-0861
(518) 492-2056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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