Individual
MR. ROSA M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10716 BALTIMORE AVE, BELTSVILLE, MD 20705-2112
(301) 937-7504
(301) 937-7522
Mailing address
10716 BALTIMORE AVE, BELTSVILLE, MD 20705
(301) 937-7504
(301) 937-7522
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2609
MD
372600000X
Adult Companion
R2609
MD
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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