Individual
MARILOU RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-496 LOAA ST, WAIPAHU, HI 96797-1508
(808) 744-6375
(808) 744-6375
Mailing address
94-496 LOAA ST, WAIPAHU, HI 96797-1508
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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