Individual
ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5036
(586) 412-5321
Mailing address
6549 TOWN CENTER DR, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107058
MI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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