Individual
KIMBERLY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2277
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2277
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0116037937
VA
Other
Enumeration date
03/31/2020
Last updated
08/21/2023
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