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Individual

DENISE JOLYNN RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
523 NORTH US 1HWY, ROCKINGHAM, NC 28379
(910) 719-4335
(910) 434-8668
Mailing address
523 NORTH US 1HWY, ROCKINGHAM, NC 28379
(910) 719-4335
(910) 434-8668

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
045254
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045254
NO NUMBERS
Enumeration date
08/24/2022
Last updated
08/24/2022
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