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Individual

DR. CAMILLE RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401
(505) 326-7246
(505) 592-0063
Mailing address
2500 FARMINGTON AVE, FARMINGTON, NM 87401
(505) 326-7246
(505) 592-0063

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2004-0336
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NM400262
NM
Enumeration date
03/29/2006
Last updated
04/09/2021
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