Provider Demographics
NPI:1740698083
Name:RIVAS, ARELA (LAC)
Entity type:Individual
Prefix:MS
First Name:ARELA
Middle Name:
Last Name:RIVAS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 OLDE FARM OFFICE RD
Mailing Address - Street 2:SUITE 907
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-9457
Mailing Address - Country:US
Mailing Address - Phone:814-317-5341
Mailing Address - Fax:
Practice Address - Street 1:117 OLDE FARM OFFICE RD
Practice Address - Street 2:SUITE 907
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-9457
Practice Address - Country:US
Practice Address - Phone:814-317-5341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000181171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist