Individual
JACQUELINE ANGELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3453 W 60TH ST, CLEVELAND, OH 44102-5530
(216) 254-0256
(216) 281-4292
Mailing address
3453 W 60TH ST, CLEVELAND, OH 44102
(216) 254-0256
(216) 281-4292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN088303
OH
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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