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Individual

KATHELENE RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 WORTH ST, NEW YORK, NY 10013-4006
(929) 468-5500
Mailing address
816 9TH ST, SECAUCUS, NJ 07094-3323
(201) 546-0416

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
730857-01
NY

Other

Enumeration date
08/09/2024
Last updated
08/09/2024
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