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Individual

EDGAR RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
609 SPEYERS RD, SELAH, WA 98942-1050
(509) 225-6311
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN70029661
WA

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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