Individual
JACQUELINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
(213) 284-3350
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
(213) 284-3350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645870
CA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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