JIMMY SANTIAGO RIVADENEIRA ALAVA

CHARLOTTE, NC
NPI1447744834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  2022-00795)
Enumeration Date2018-06-19
Last Update Date2024-07-15
Business Address
JIMMY SANTIAGO RIVADENEIRA ALAVA MD
501 BILLINGSLEY RD STE B
CHARLOTTE, NC 28211-1009
Phone number: 704-444-2400
Mailing Address
JIMMY SANTIAGO RIVADENEIRA ALAVA MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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