DOMINIQUE BREANN RIVERA

ALBUQUERQUE, NM
NPI1982362752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2023-0236)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-11-29
Last Update Date2023-08-15
Business Address
DOMINIQUE BREANN RIVERA PA-C
6801 JEFFERSON ST NE STE 350
ALBUQUERQUE, NM 87109-4361
Phone number: 505-847-4100
Mailing Address
DOMINIQUE BREANN RIVERA PA-C
4301 ATHERTON WAY NW
ALBUQUERQUE, NM 87120-1260
Phone number: 505-280-9586