Individual
DR. JESSICA MARIE RIVINIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18420 N 19TH AVE, PHOENIX, AZ 85023-1361
(602) 993-6610
Mailing address
18420 N 19TH AVE, PHOENIX, AZ 85023-1361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021518
AZ
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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