Individual
VIVIAN NIDZA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.P. # 3539
Contact information
Practice address
27908 BRISTOL BAY PL APT 104, WESLEY CHAPEL, FL 33544-8813
(786) 942-5089
Mailing address
27908 BRISTOL BAY PL, #104, WESLEY CHAPEL, FL 33544-8811
(786) 942-5089
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3539
FL
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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