Individual
MR. MARTIN WENCESLAO RIVERA-SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
15045 MARSHA ST, LIVONIA, MI 48154-4876
(734) 716-9443
Mailing address
15045 MARSHA ST, LIVONIA, MI 48154-4876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704313739
MI
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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