Organization
LILLIAM RIVERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAM RIVERA BSN, MSN (RN)
(904) 783-3009
Entity
Organization
Contact information
Practice address
2236 BRIAN LAKES DR. E, JACKSONVILLE, FL 32221
(904) 783-3009
Mailing address
2236 BRIAN LAKES DR E, JACKSONVILLE, FL 32221-3844
(904) 783-3009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9200441
FL
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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