Individual
ANGELI DEVORA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ARLINGTON ST APT 3, WORCESTER, MA 01604-4318
(774) 329-9387
Mailing address
25 ARLINGTON ST APT 3, WORCESTER, MA 01604-4318
(774) 329-9387
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021113822
—
MA
Enumeration date
01/05/2017
Last updated
01/05/2017
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