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Individual

DR. YOLANDA ANNETTE RIVAS DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
560 W 114TH PL, NORTHGLENN, CO 80234-3066
(787) 224-5370
Mailing address
560 W 114TH PL, NORTHGLENN, CO 80234-3066
(787) 224-5370

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
654
PR
152W00000X
Optometrist
Primary
OPT.0002898
CO

Other

Enumeration date
09/15/2008
Last updated
02/22/2022
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