Individual
MARY JEAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 GARDEN ST, BERGENFIELD, NJ 07621-2743
(201) 522-7364
Mailing address
75 GARDEN ST, BERGENFIELD, NJ 07621-2743
(201) 522-7364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
439750
NY
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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