Rivea Medley
Contractor in Berlin, NJ. Individual provider (NPI-1).
NPI number1487114591
StatusActive
Last updated in NPPESMar 24, 2019
Details
- NPI
- 1487114591
- Entity type
- Individual (NPI-1)
- Name
- Rivea Medley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2019
- Last updated
- Mar 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
130 W White Horse PikeBerlin, NJ 08009-2028
Phone 856-287-5240
Mailing address
32 Hillcrest TerSalem, NJ 08079-1225
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