Individual
MELVIN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN00132317
Contact information
Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Mailing address
10402 CEDRONA ST SW, LAKEWOOD, WA 98498-3756
(210) 393-4998
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN00132317
WA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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