Individual
IRIS M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
167 NORTH MAIN ST., TUBA CITY, AZ 86045
(928) 283-2519
(928) 283-2523
Mailing address
PO BOX 2306, TUBA CITY, AZ 86045-2306
(928) 283-2721
(928) 283-1341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7988A
PR
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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