Jesse Thomas Rivera BA

NPI 1003170390 - Social Worker - 104100000X

NPI Details
NPI 1003170390
Gender Male
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 239-8069
Fax (813) 272-3766
Business Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 239-8069
Fax (813) 272-3766
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Mr. Jesse Thomas Rivera BA NPI is 1003170390, taxonomy code is 104100000X Jesse Thomas Rivera BA physically located at 5707 N 22nd St, Tampa FL, 33610-4350. NPI Number Jesse Thomas Rivera BA has the Individual type.

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1003170390 NPI number is provided on an as is basis without warranty of any kind. 1003170390 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Thomas Rivera BA are for informational purposes only.