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Individual

MISS JOHANNE L RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
URB PURPLE TREE 488 CARR 845, SAN JUAN, PR 00926
(787) 761-1945
(787) 761-1947
Mailing address
9 URB. VILLA BLANCA, C DIAMANTE, CAGUAS, PR 00725
(787) 704-9699
(787) 761-1947

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333068
PR

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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