Individual
CARMELITA RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040A JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-0895
(253) 968-1222
Mailing address
3730 N BENNETT ST, TACOMA, WA 98407-3535
(253) 759-3240
(253) 968-1222
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN00124761
WA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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