Individual
LEAH MARIE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1097 HOSPITAL DR, ST JOHNSBURY, VT 05819-9242
(802) 748-6166
Mailing address
1097 HOSPITAL DR, ST JOHNSBURY, VT 05819-9242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0068931
VT
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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