Individual
MELISSA ANN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1813 SYRCLE DR, DANVILLE, IL 61832-1849
(217) 213-2324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043082729
IL
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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