Individual
AMELIA RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
744 WATER STREET, CHINOOK, WA 98614
(360) 607-6310
Mailing address
PO BOX 248, CHINOOK, WA 98614-0248
(360) 607-6310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00031363
WA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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