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Individual

MISS LIZETTE G RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3870 N WALNUT RD, LAS VEGAS, NV 89115-0323
(702) 241-1070
Mailing address
3870 WALNUT RD, LAS VEGAS, NV 89115
(702) 241-1070

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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