Individual
DANIEL RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 THOMPSON DR, HUDSON, NC 28638-2648
(828) 851-3236
Mailing address
360 THOMPSON DR, HUDSON, NC 28638-2648
(828) 851-3236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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