Individual
ATHENA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Mailing address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN345622
OH
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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