JOHN KENO RIVERA

PONTIAC, MI
NPI1639854516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351050735)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
JOHN KENO RIVERA
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392
Mailing Address
JOHN KENO RIVERA
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392