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Crystal Desere Rivera
Student in an Organized Health Care Education/Training Program in Raynham, Massachusetts
NPI 1639733512

Crystal Desere Rivera is a Student in an Organized Health Care Education/Training Program based in Raynham, MA. Crystal Desere Rivera practices in Raynham, MA. The NPI Number for Crystal Desere Rivera is 1639733512 and holds a License No. (Massachusetts).

The current practice location address for Crystal Desere Rivera is 90 Briarcliff Rd Apt 2, Raynham, MA and can be reached out via phone at 774-257-2923.

Location: 90 Briarcliff Rd Apt 2, Raynham, MA, 02767-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639733512
Provider Name
Crystal Desere Rivera
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Briarcliff Rd Apt 2, Raynham, MA, 02767-1642
Phone Number
774-257-2923
Fax Number
Provider Enumeration Date
04/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Briarcliff Rd Apt 2
City
Raynham
State
Massachusetts
Zip
02767-1642
Phone Number
774-257-2923
Fax Number
person
Provider Business Mailing Address Details
Address
90 Briarcliff Rd Apt 2
City
Raynham
State
Massachusetts
Zip
02767-1642
Phone Number
774-257-2923
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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