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Individual

MARTHA LAURA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
3705 MEDICAL PKWY STE 200, AUSTIN, TX 78705-1027
(512) 452-0231
(512) 454-6019
Mailing address
3705 MEDICAL PKWY STE 200, AUSTIN, TX 78705-1027
(512) 452-0231
(512) 454-6019

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50935
TX

Other

Enumeration date
07/15/2008
Last updated
04/30/2009
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