Individual
KATIERA TEKAKWITHA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188-3771
(262) 548-6903
Mailing address
PO BOX 3031, KALISPELL, MT 59903-3031
(406) 752-3239
(406) 752-3252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34958
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2011
Last updated
05/17/2019
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