Most Relevant Information
Provider Data
| NPI Number: | 1003488842 |
| Provider Name: | ELIZABETH RIVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2021 |
| Last Updated: | 07/12/2021 |
Provider Practice Location
3016 SW 64TH TER
OKLAHOMA CITY
OK
731591318
Practice Location Phone/Fax
| Phone: | 4055896116 |
| Fax: |
Provider Mailing Location
3016 SW 64TH TER
OKLAHOMA CITY
OK
731591318
Provider Mailing Phone/Fax
| Phone: | 4055896116 |
| Fax: |