Individual
MISS ANGELINA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 MEMORIAL HWY STE A, TAMPA, FL 33615-4509
(813) 891-9474
Mailing address
4711 W WATERS AVE APT 234, TAMPA, FL 33614-1422
(813) 891-9474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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