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Individual

MRS. AWILDA E RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNBSN

Contact information

Practice address
328 CALLE MONTE DE ORO, CAMUY, PR 00627-3315
(787) 895-6216
Mailing address
328 CALLE MONTE DE ORO, CAMUY, PR 00627-3315

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23452
LICENSE
PR
Enumeration date
05/07/2007
Last updated
07/08/2007
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