Individual
RICA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 N 18TH ST, SAINT JOSEPH, MO 64505-1872
(816) 364-4200
Mailing address
122 W 85TH ST, KANSAS CITY, MO 64114-2420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017008719
MO
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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