Individual
JINETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1457 MIDDLESBROUGH DR, FAYETTEVILLE, NC 28306-7739
(910) 260-9127
Mailing address
1457 MIDDLESBROUGH DR, FAYETTEVILLE, NC 28306-7739
(910) 260-9127
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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