Individual
CHERLI MAR BOSCANA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BATCHELOR'S DEGREE
Contact information
Practice address
2639 WRS 434, LONGWOOD, FL 32779
(321) 972-8326
Mailing address
504 ZINNIA DR, CASSELBERRY, FL 32707-5056
(787) 585-2281
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5168
FL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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