Individual
KEISHLA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 SHAWMUT ST, CHELSEA, MA 02150
(617) 659-7659
Mailing address
135 SHAWMUT ST, CHELSEA, MA 02150-3227
(617) 659-7659
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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