LUIS RIVERABARRERA

GROTON, CT
NPI1174250294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
LUIS RIVERABARRERA IDC
159 TROUT AVE
GROTON, CT 06349
Phone number: 912-464-7312
Mailing Address
LUIS RIVERABARRERA IDC
159 TROUT AVE
GROTON, CT 06349
Phone number: 912-464-7312