Individual
JESSE RIVAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
34302 LAURA WAY, RANCHO MIRAGE, CA 92270-1830
(760) 848-5737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95244156
CA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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