Individual
JULIAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4540
(505) 294-5486
(505) 294-3655
Mailing address
2709 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4540
(505) 294-5486
(505) 294-3655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7835
NM
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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