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Gloria Rivera-Butler

Adult Companion in Bronx, NY. Individual provider (NPI-1).

NPI number1982007183
StatusActive
Last updated in NPPESOct 1, 2014

Details

NPI
1982007183
Entity type
Individual (NPI-1)
Name
Gloria Rivera-Butler
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2014
Last updated
Oct 1, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

973 Rev James A Polite Ave
Unit 2a
Bronx, NY 10459-3027

Phone 718-681-1817 · Fax 917-423-0442

Mailing address

973 Rev James A Polite Ave
2a
Bronx, NY 10459-3027

Phone 718-681-1817 · Fax 917-423-0442

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