Individual
KEILA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 VALLEY ST, PROVIDENCE, RI 02909-2464
(401) 648-6200
Mailing address
188 VALLEY ST, PROVIDENCE, RI 02909-2464
(401) 648-6200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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