Individual
VICTORIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26934 N 178TH AVE, SURPRISE, AZ 85387-1075
(623) 980-4164
Mailing address
12030 N 62ND DR, GLENDALE, AZ 85304-2537
(602) 881-7190
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
12257
AZ
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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