Individual
ANGELIQUE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5757 W OKLAHOMA AVE, MILWAUKEE, WI 53219-4303
(414) 810-4675
Mailing address
5757 W OKLAHOMA AVE, MILWAUKEE, WI 53219-4303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196848-30
WI
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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