JADIE WANDA RIVERA

BROOKLYN, NY
NPI1679801583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  51025921)
Enumeration Date2009-12-04
Last Update Date2009-12-04
Business Address
-- JADIE WANDA RIVERA rdh
5800 3RD AVE
BROOKLYN, NY 11220-3702
Phone number: 718-630-6180
Mailing Address
-- JADIE WANDA RIVERA rdh
150 55TH ST
BROOKLYN, NY 11220-2559
Phone number: 718-630-6875