Melissa Dawn Rivera

NPI #1225112998 in Chama, New Mexico

Provider Information

NPI Number: 1225112998
Entity Type: Individual
Name: Melissa Dawn Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 25, 2006
Last Updated: May 27, 2008

Practice Location

Address: HC 75 BOX 49A
City: Chama
State: New Mexico
ZIP Code: 87520-9701
Phone: (505) 759-7228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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