Individual
MRS. JESSICA MARIE RIVERA-MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
930 RIMINI DR, SAINT CLOUD, FL 34771-9114
(407) 780-6007
Mailing address
930 RIMINI DR, SAINT CLOUD, FL 34771-9114
(407) 780-6007
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-308590
FL
163WL0100X
Lactation Consultant (Registered Nurse)
RN9370399
FL
Other
Enumeration date
06/16/2023
Last updated
10/13/2023
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