Individual
TIARAH RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1350 S 11TH ST, PHOENIX, AZ 85034-4537
(602) 257-3887
Mailing address
1350 S 11TH ST, PHOENIX, AZ 85034-4537
(602) 257-3887
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
244703
AZ
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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