Individual
ALEXANDRA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(888) 683-2778
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95134047
CA
Other
Enumeration date
06/09/2022
Last updated
07/27/2022
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