Individual
MISS CARLA DENEEN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19870 MONTEREY AVE, EUCLID, OH 44119-1513
(216) 394-7937
Mailing address
19870 MONTEREY AVE, EUCLID, OH 44119-1513
(216) 394-7937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
133044
OH
Other
Enumeration date
10/31/2010
Last updated
10/31/2010
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