Individual
BRANDEN BRANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6253 SOUTH BLVD, CHARLOTTE, NC 28217-4440
(704) 554-9711
Mailing address
504 EASTWAY DR, CHARLOTTE, NC 28205-1421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5533
NC
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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