Individual
MISS GLADYS MARIA RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3450 SANDYSTONE CIR, FAYETTEVILLE, NC 28311-2503
(910) 728-1787
Mailing address
3450 SANDYSTONE CIR, FAYETTEVILLE, NC 28311-2503
(910) 728-1787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001010135
NC
Other
Enumeration date
08/24/2009
Last updated
08/27/2020
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