Individual
LAURA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
16622
HI
164X00000X
Licensed Vocational Nurse
Primary
218014
TX
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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