Individual
ALYSSA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
40 FOREST LN, TROY, MO 63379-3817
(636) 290-6463
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/28/2023
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