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Jorge Riestra

NPI 1972559219 · on the registry since 2006 · sole proprietor

Practice

Address
105 Ussery Rd
Clarksville, TN 37043
Phone
(931) 647-7321
Clinicians at this address
2

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-15

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 Tennessee