George Rivera

NPI #1538601356 in Salt Lake City, Utah

Provider Information

NPI Number
1538601356
Entity Type
Individual
Name
George Rivera
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Nov 10, 2016
Last Updated
Nov 10, 2016

Practice Location

Address
411 N GRANT ST
State
Utah
ZIP Code
84116-2725
Phone
(801) 828-8971

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