Individual
IVANNA MARIE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DODD PROVIDER
Contact information
Practice address
3335 NORWOOD ST, COLUMBUS, OH 43224-3506
(614) 893-2874
Mailing address
3335 NORWOOD ST, COLUMBUS, OH 43224-3506
(614) 893-2874
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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