person
Ty-eisha Rivera
Specialist in Providence, Rhode Island
NPI 1093264228

Ty-eisha Rivera is a Specialist based in Providence, RI. Ty-eisha Rivera practices in Providence, RI. The NPI Number for Ty-eisha Rivera is 1093264228 and holds a License No. (Rhode Island).

The current practice location address for Ty-eisha Rivera is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-6268 and via fax at 401-444-7409.

Location: 593 Eddy St, Providence, RI, 02903-4923
person
Provider Profile Details
NPI Number
1093264228
Provider Name
Ty-eisha Rivera
Credential
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-6268
Fax Number
401-444-7409
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5127 01 RI CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-6268
Fax Number
401-444-7409
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-6268
Fax Number
401-444-7409
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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