Individual
KATRINA MARIE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
430 TIPPAH ST S, GRAND JUNCTION, TN 38039-4423
(901) 896-5333
Mailing address
430 TIPPAH ST S, GRAND JUNCTION, TN 38039-4423
(901) 896-5333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000072874
TN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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