Individual
KRISTIAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHA - TRAINEE
Contact information
Practice address
201 DEERMOUNT ST FL 2, KETCHIKAN, AK 99901-6649
(907) 388-4653
Mailing address
201 DEERMOUNT ST FL 2, KETCHIKAN, AK 99901-6649
(907) 388-4653
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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