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Individual

ALICIA A RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
821 DEBARY AVE, DELTONA, FL 32725-8805
(386) 860-5448
(386) 668-3665
Mailing address
821 DEBARY AVE, DELTONA, FL 32725-8805
(386) 860-5448
(386) 668-3665

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7903
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
316158
CHIRO ALLIANCE CORP.
FL
05
381780600
FL
01
6265773
CIGNA
FL
Enumeration date
01/04/2007
Last updated
05/14/2012
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