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Individual

JEANETTE RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1775 WILLISTON RD STE 110, SOUTH BURLINGTON, VT 05403-6491
(877) 698-8496
Mailing address
PO BOX 250, SHELBURNE, VT 05482-0250
(877) 698-8496

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
0420014168
VT

Other

Enumeration date
03/27/2007
Last updated
01/29/2019
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