Individual
ILIANNETTE RIVERA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6220 MANATEE AVE W STE 204, BRADENTON, FL 34209-2361
(941) 761-1100
Mailing address
4501 HELENA ST NE, SAINT PETERSBURG, FL 33703-4355
(727) 226-0583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12716
FL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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