Individual
ELIZABETH RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16101 NE 77TH CIR, VANCOUVER, WA 98682-3810
(360) 953-7712
Mailing address
16101 NE 77TH CIR, VANCOUVER, WA 98682-3810
(360) 953-7712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10003782
OR
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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