WANDALYZ RIVERA DE JESUS

FAIRCHILD AFB, WA
NPI1821757451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PR  14351)
Enumeration Date2021-12-10
Last Update Date2022-03-21
Business Address
WANDALYZ RIVERA DE JESUS MSW
5496 PINE ST
FAIRCHILD AFB, WA 99011-2209
Phone number: 787-943-0151
Mailing Address
WANDALYZ RIVERA DE JESUS MSW
5496 PINE ST
FAIRCHILD AFB, WA 99011-2209
Phone number: 787-943-0151
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