Individual
CALISTA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4228
(505) 373-6816
Mailing address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4228
(505) 373-6816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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