Individual
REYNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1011 SW C AVE, LAWTON, OK 73501-4331
(580) 250-1222
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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