Individual
MISS SANDRA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
194 BROAD ST, BLOOMFIELD, NJ 07003-2606
(973) 748-5700
Mailing address
194 BROAD ST, BLOOMFIELD, NJ 07003-2606
(973) 748-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00518700
NJ
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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