Individual
JEFFREY M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12428 GRANGER RD, CLEVELAND, OH 44125-2943
(216) 299-5674
Mailing address
12428 GRANGER RD, CLEVELAND, OH 44125-2943
(216) 299-5674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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