STACIE LYNNE RIVERS

LAS VEGAS, NV
NPI1144490905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: NV  5243)
Enumeration Date2008-03-08
Last Update Date2008-03-08
Business Address
-- STACIE LYNNE RIVERS M.D.
6795 EDMOND ST SUITE 210
LAS VEGAS, NV 89118-3505
Phone number: 702-524-2928
Mailing Address
-- STACIE LYNNE RIVERS M.D.
PO BOX 370549
LAS VEGAS, NV 89137-0549
Phone number: 702-524-2928
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