Individual
DR. MIQUELA CARLEEN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9633 VILLA DEL REY NE, ALBUQUERQUE, NM 87111-1652
(505) 514-9016
Mailing address
9633 VILLA DEL REY NE, ALBUQUERQUE, NM 87111-1652
(505) 514-9016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
528
NM
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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