Individual
LESLEY GENEVIEVE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SAMFORD ST, ALBERTA, VA 23821-2334
(804) 617-6457
Mailing address
142 SAMFORD ST, ALBERTA, VA 23821-2334
(804) 617-6457
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5678
NON EMERGENCY MEDICAL TRANSPORTATION
VA
Enumeration date
02/10/2020
Last updated
02/10/2020
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