Individual
YULISSA LOURDES RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11216 NW 6TH ST, MIAMI, FL 33172-3556
(305) 877-3484
Mailing address
11216 NW 6TH ST, MIAMI, FL 33172-3556
(305) 877-3484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5745
FL
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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