Individual
RIVEA MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W WHITE HORSE PIKE, BERLIN, NJ 08009-2028
(856) 287-5240
Mailing address
32 HILLCREST TER, SALEM, NJ 08079-1225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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