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Individual

MARYANN RIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2001 STATE HIGHWAY 248 STE 6, BRANSON, MO 65616-4513
(417) 334-1334
Mailing address
290 TALL OAKS DR, BRANSON, MO 65616-8529

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023030584
MO

Other

Enumeration date
12/26/2023
Last updated
12/26/2023
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