Teisha Nichole Rivera

NPI #1083205421 in Provo, Utah

Provider Information

NPI Number: 1083205421
Entity Type: Individual
Name: Teisha Nichole Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 28, 2021
Last Updated: Jan 28, 2021

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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