Justin Ricky Rivera

NPI #1902404262 in Lauderhill, Florida

Provider Information

NPI Number: 1902404262
Entity Type: Individual
Name: Justin Ricky Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 6740 NW 38TH DR
City: Lauderhill
State: Florida
ZIP Code: 33319-7305
Phone: (954) 756-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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