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AGNES SARA LABIT RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
491 E ALESSANDRO BLVD, RIVERSIDE, CA 92508-6071
(951) 780-1835
Mailing address
491 E ALESSANDRO BLVD, RIVERSIDE, CA 92508-6071
(951) 780-1835

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95011394
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP95011394
NP LICENSE
CA
Enumeration date
04/05/2019
Last updated
10/25/2024
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