Individual
CALYPSO MARES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC54976
Contact information
Practice address
5424 S STEELE ST APT 27, TACOMA, WA 98409-7005
(253) 314-2766
Mailing address
5424 S STEELE ST APT 27, TACOMA, WA 98409-7005
(253) 314-2766
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC54976
—
WA
Enumeration date
09/01/2020
Last updated
09/01/2020
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