Individual
DR. MONIQUE MICHELLE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, MSN, RN
Contact information
Practice address
8607 N 59TH AVE, GLENDALE, AZ 85302-5433
(623) 760-5810
Mailing address
16084 W CLINTON ST, SURPRISE, AZ 85379-4683
(623) 760-5810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN127712
AZ
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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