Luis Riverabarrera, IDC

NPI #1174250294 in Groton, Connecticut

Provider Information

NPI Number
1174250294
Entity Type
Individual
Name
Luis Riverabarrera, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Aug 8, 2022
Last Updated
Aug 8, 2022

Practice Location

Address
159 TROUT AVE
City
Groton
ZIP Code
06349
Phone
(912) 464-7312

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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