Individual
ASHIALIZ Y OCASIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 800-7693
Mailing address
4066 LEXINGTON AVE N APT 229, SHOREVIEW, MN 55126-2947
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
10/11/2025
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