Individual
DANIEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RAY SMITH RD, SICKLERVILLE, NJ 08081-2115
(856) 392-1433
Mailing address
1 RAY SMITH RD, SICKLERVILLE, NJ 08081-2115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06085200
NJ
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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