Individual
JENNELLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
349 E 149TH ST, BRONX, NY 10451-5603
(718) 993-7700
Mailing address
414 LELAND AVE, BRONX, NY 10473-3016
(646) 334-6411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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