Individual
YAHAIRA RIVERA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 19TH ST NE LOT 511, BISMARCK, ND 58503-5483
(701) 989-0146
Mailing address
4005 19TH ST NE LOT 511, BISMARCK, ND 58503-5483
(701) 989-0146
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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