Individual
KELLEY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 GREEN ST, CLAYMONT, DE 19703-2065
(302) 782-3882
Mailing address
3401 GREEN ST, CLAYMONT, DE 19703-2065
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
L1-0034924
DE
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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