Individual
DESTINEE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 FASHION DR APT 4214, COLUMBIA, SC 29229-5722
(803) 837-2194
Mailing address
780 FASHION DR APT 4214, COLUMBIA, SC 29229-5722
(803) 837-2194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47017
SC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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