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1144719840
LISA LOUISE RIVA
NEWPORT BEACH, CA
NPI
1144719840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95007823)
Enumeration Date
2018-05-08
Last Update Date
2018-06-16
Business Address
LISA LOUISE RIVA Nurse Practitioner
520 SUPERIOR AVE STE 255
NEWPORT BEACH, CA 92663-3668
Phone number: 949-360-0300
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Mailing Address
LISA LOUISE RIVA Nurse Practitioner
265 FLOWER ST
COSTA MESA, CA 92627-2837
Phone number: 949-633-0500
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