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Individual
JANE A RIVAS
Active
Individual
JANE A RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
72735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487195822
—
WI
Enumeration date
03/18/2017
Last updated
08/06/2021
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