STACY MARIE RIVERA

SAN DIEGO, CA
NPI1417625187
Former NameSTACY MARIE TORRES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95011538)
Enumeration Date2021-08-30
Last Update Date2021-08-30
Business Address
STACY MARIE RIVERA AG-ACNP
286 EUCLID AVE STE 110
SAN DIEGO, CA 92114-3611
Phone number: 619-416-3510
Mailing Address
STACY MARIE RIVERA AG-ACNP
7318 DRAPER AVE
LA JOLLA, CA 92037-5023
Phone number: 352-474-9363
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