Individual
SHANNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1634 DOWNING ST, DENVER, CO 80218-1529
(303) 504-1800
Mailing address
1330 GAYLORD ST APT 805, DENVER, CO 80206-2147
(720) 231-4595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44171
CO
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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