Mark Anthony Rivers JR.

NPI #1265234603 in Boardman, Ohio

Provider Information

NPI Number: 1265234603
Entity Type: Individual
Name: Mark Anthony Rivers JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 6300 SOUTH AVE APT 301
City: Boardman
State: Ohio
ZIP Code: 44512-3658
Phone: (206) 538-9984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary
Meals	174200000X
Private Vehicle	347C00000X

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