EMMANUEL CANDAL RIVERA

YPSILANTI, MI
NPI1447882436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351052318)
Additional Taxonomies208D00000X General Practice
(Licence: PR  23375)
Enumeration Date2020-02-07
Last Update Date2024-06-10
Business Address
EMMANUEL CANDAL RIVERA
200 ARNET ST STE 200
YPSILANTI, MI 48198-5753
Phone number: 734-482-6221
Mailing Address
EMMANUEL CANDAL RIVERA
200 ARNET ST STE 200
YPSILANTI, MI 48198-5753
Phone number: 734-482-6221