| NPI | 1932841376 |
|---|---|
| Professional Name | GRANT VIDAL RIVERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5665) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 36215) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-08-24 |