Individual
ADRIAN RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
I.D.C
Contact information
Practice address
1900 GATOR BLVD, BUILDING 3808, NORFOLK, VA 23521-2902
(757) 462-1056
(757) 462-3111
Mailing address
1900 GATOR BLVD, BUILDING 3808, NORFOLK, VA 23521-2902
(757) 462-1056
(757) 462-3111
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
10/19/2010
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