Individual
ALYSSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4360 CROOKED TREE RD SW APT 2, WYOMING, MI 49519-4160
(201) 388-1480
Mailing address
4360 CROOKED TREE RD SW APT 2, WYOMING, MI 49519-4160
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128248
MI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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