Individual
JOSE RAUL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 S VALLEY VIEW BLVD STE 16C, LAS VEGAS, NV 89102-0116
(702) 558-8383
Mailing address
2801 S VALLEY VIEW BLVD STE 16C, LAS VEGAS, NV 89102-0116
(702) 558-8383
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NV
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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