SearchNew Mexico163WS0200X

Diane Rivera

NPI 1225486194 · on the registry since 2016 · sole proprietor

Practice

Address
101 Airport Road
Santa Teresa, NM 88008
Phone
(575) 589-5314

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico