MARK ANTHONY RIVERS

BOARDMAN, OH
NPI1265234603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies174200000X Meals
347C00000X Private Vehicle
Enumeration Date2025-03-26
Last Update Date2025-03-26
Business Address
MARK ANTHONY RIVERS
6300 SOUTH AVE APT 301
BOARDMAN, OH 44512-3658
Phone number: 206-538-9984
Mailing Address
MARK ANTHONY RIVERS
6300 SOUTH AVE APT 301
BOARDMAN, OH 44512-3658
Phone number: 206-538-9984