NICOLE RIVAS

MEDFORD, NY
NPI1578856324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  302709)
Enumeration Date2011-05-25
Last Update Date2011-05-25
Business Address
-- NICOLE RIVAS
107 VILLAS DR
MEDFORD, NY 11763-2136
Phone number: 631-742-8305
Mailing Address
-- NICOLE RIVAS
107 VILLAS DR
MEDFORD, NY 11763-2136
Phone number: 631-742-8305
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