| NPI | 1477799674 |
|---|---|
| Professional Name | CANDICE RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1018) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19110) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2023-06-02 |