Individual
CHASITY MARIE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6825 STATE ROUTE 22, APT 1, PLATTSBURGH, NY 12901-4915
(518) 578-7385
Mailing address
6825 STATE ROUTE 22, APT 1, PLATTSBURGH, NY 12901-4915
(518) 578-7385
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302710-1
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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