Xiomara Delsoccorro Rivera PTA

NPI 1083936918 - Specialist - 174400000X

NPI Details
NPI 1083936918
Gender Female
Enumeration Date 02/19/2010
Last Updated 02/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
134 THURBERS AVE
#220A
PROVIDENCE RI, 02905, US
Phone (401) 270-9991
Fax
Business Location
191 CARPENTER ST
PROVIDENCE RI, 02903-3044, US
Phone (401) 497-9263
Fax
Toxanomy
Taxonomy Code 174400000X
License State Rhode Island
License Number 00617
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According to our database, Xiomara Delsoccorro Rivera PTA NPI is 1083936918, taxonomy code is 174400000X and license number is 00617, license state is located at Rhode Island. Xiomara Delsoccorro Rivera PTA physically located at 134 Thurbers Ave, Providence RI, 02905. NPI Number Xiomara Delsoccorro Rivera PTA has the Individual type.

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1083936918 NPI number is provided on an as is basis without warranty of any kind. 1083936918 is maintained by the National Plan & Provider Enumeration System. The contents of Xiomara Delsoccorro Rivera PTA are for informational purposes only.