Individual
MR. ANGEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
101 BROOK HOLLOW CT, CARY, NC 27513-4932
(919) 744-8081
Mailing address
101 BROOK HOLLOW CT, CARY, NC 27513-4932
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7517
NC
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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