Individual
ELAINE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 W 3RD ST, GRAND ISLAND, NE 68801-5767
(308) 370-4502
Mailing address
1604 W 3RD ST, GRAND ISLAND, NE 68801-5767
(308) 370-4502
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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