Individual
MRS. LISA LOUISE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM61165804
Contact information
Practice address
201 HIGHLAND DR, BUENA, WA 98921-0139
(509) 865-6705
Mailing address
1314 BROWNE AVE APT 9, YAKIMA, WA 98902-3054
(509) 881-5307
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
Primary
CM61165804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
05/28/2021
Last updated
05/28/2021
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