JAVIER RIVERA

GRAND PRAIRIE, TX
NPI1669938858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: TX  36950507)
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
JAVIER RIVERA
364 THOROUGHBRED LN
GRAND PRAIRIE, TX 75050-6676
Phone number: 469-640-0609
Mailing Address
JAVIER RIVERA
364 THOROUGHBRED LN
GRAND PRAIRIE, TX 75050-6676
Phone number: 469-640-0609
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