Individual
LUCIANO RIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
181 GREENDALE RD, PHILA, PA 19154-4346
(215) 673-6713
Mailing address
181 GREENDALE RD, PHILADELPHIA, PA 19154-4346
(215) 673-6713
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN612288
PA
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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