Individual
JESSE ROBERT RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1000
Mailing address
18250 NW 8TH ST, PEMBROKE PINES, FL 33029-3686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031173
CA
Other
Enumeration date
08/14/2016
Last updated
08/10/2024
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