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Individual

GLADYS RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5225 W WABASH AVE, BROWN DEER, WI 53223-3069
(414) 446-9176
(414) 446-9176
Mailing address
5225 W WABASH AVE, BROWN DEER, WI 53223-3069
(414) 446-9176
(414) 446-9176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133942030
WI

Other

Enumeration date
11/23/2009
Last updated
11/23/2009
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