Individual
DILEYSI RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BAINBRIDGE AVE, PROVIDENCE, RI 02909-1801
(401) 374-8395
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 374-8395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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