Individual
IVELISSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 HUNTER CREEK RD, MARSHALL, NC 28753-6103
(828) 707-8256
Mailing address
944 HUNTER CREEK RD, MARSHALL, NC 28753-6103
(828) 707-8256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18470
NC
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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