Individual
JANET DENISE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 BILL BROWN RD, PEMBROKE, GA 31321-4452
(912) 601-4779
Mailing address
144 BILL BROWN RD, PEMBROKE, GA 31321-4452
(912) 601-4779
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
22083411
GA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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