Individual
MS. LIDIA RIVERA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP-C
Contact information
Practice address
3660 PARK SIERRA DR, STE 208, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Mailing address
3660 PARK SIERRA DR, STE 208, RIVERSIDE, CA 92505-3071
(310) 638-0533
(310) 638-9171
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
477882
CA
363L00000X
Nurse Practitioner
Primary
95000887
CA
Other
Enumeration date
11/19/2007
Last updated
04/05/2019
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