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Individual

KATIE SHIRLEY RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639
Mailing address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14720
ME

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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