Individual
TONYA RENA RIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD, BRIDGETON, MO 63044-2563
(314) 562-4617
Mailing address
92 FOX RUN RD, COLLINSVILLE, IL 62234-1485
(618) 344-6496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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