Individual
CRISTIAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 BERTRAND DR STE 100, LAFAYETTE, LA 70506-5632
(337) 261-8781
Mailing address
116 BERTRAND DR STE 100, LAFAYETTE, LA 70506-5632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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