JACKIE RIVERA

COLUMBIA, MO
NPI1093260747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2010009084)
Enumeration Date2016-08-23
Last Update Date2016-08-23
Business Address
-- JACKIE RIVERA LPN
807 N PROVIDENCE RD
COLUMBIA, MO 65203-4359
Phone number: 573-443-8706
Mailing Address
-- JACKIE RIVERA LPN
807 N PROVIDENCE RD
COLUMBIA, MO 65203-4359
Phone number: 573-443-8706
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