Individual
CHERINA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MINUS AVE, GARDEN CITY, GA 31408-2118
(912) 964-6712
Mailing address
100 MINUS AVE, GARDEN CITY, GA 31408-2118
(912) 964-6712
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC058245
GA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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