Individual
GLENN RIVERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10140 DEER RUN FARMS RD, FORT MYERS, FL 33966-1045
(239) 275-7356
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
575479
NY
163W00000X
Registered Nurse
Primary
RN 9290432
FL
Other
Enumeration date
05/16/2013
Last updated
05/30/2013
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