Individual
JAMIQUA LUCITA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-8069
(813) 231-7324
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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