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Individual

MRS. MINERVA RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
26 COTTAGE ST, RANDOLPH, MA 02368-4608
(617) 833-4120
Mailing address
26 COTTAGE ST, RANDOLPH, MA 02368-4608
(617) 833-4120

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
023935
PR
163W00000X
Registered Nurse
RN9229437
FL

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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