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NPI 1043782899

IndividualActive

Brice Rivra

NPI 1043782899 · Independent Duty Corpsman · Jacsksonvile, NC

Provider details

NPI number: 1043782899
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

Rr 612 Loop Road

Jacsksonvile, NC 28540

Phone: (910) 440-1942

More NC providers

Mailing address

Rr 612 Loop Road

Jacsksonvile, NC 28540

Registry dates

Enumerated: 2018-12-18
Last updated: 2018-12-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brice Rivra — NPI 1043782899, Jacsksonvile, NC | NPI Central