JOSE ANTONIO RIVERA

ORANGEBURG, SC
NPI1336101427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: SC  00009)
Enumeration Date2006-04-04
Last Update Date2007-07-08
Business Address
-- JOSE ANTONIO RIVERA
2323 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-2042
Phone number: 803-531-6005
Mailing Address
-- JOSE ANTONIO RIVERA
203 DOGWOOD ST
CAMERON, SC 29030-9552
Phone number: 803-531-6005