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Individual

MARY GRACE TOLENTINO RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5320 S RAINBOW BLVD STE 154, LAS VEGAS, NV 89118-1807
(702) 853-3853
(702) 853-3854
Mailing address
10170 W TROPICANA AVE # 156-336, LAS VEGAS, NV 89147-8465
(702) 853-3853
(702) 853-3854

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
838958
NV

Other

Enumeration date
04/04/2021
Last updated
08/23/2021
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