AMANDA LARIVERE

PHOENIX, AZ
NPI1134679046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP047198)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
Mrs. AMANDA LARIVERE
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
Mrs. AMANDA LARIVERE
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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