Individual
ROXANNE ALEXANDRIA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 CORNER OAK CT, WALESKA, GA 30183-4210
(470) 271-0418
Mailing address
141 CORNER OAK CT, WALESKA, GA 30183-4210
(470) 271-0418
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC046054
GA
Other
Enumeration date
10/02/2023
Last updated
10/30/2023
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