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1124723390
MALLORY RENEE RIVERA
MONTEREY, CA
NPI
1124723390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95024093)
Enumeration Date
2023-04-04
Last Update Date
2023-06-29
Business Address
Mrs. MALLORY RENEE RIVERA NP
501 LIGHTHOUSE AVE
MONTEREY, CA 93940-1439
Phone number: 831-649-0770
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Mailing Address
Mrs. MALLORY RENEE RIVERA NP
100 WILSON RD STE 100
MONTEREY, CA 93940-7885
Phone number: 831-649-1000
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