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1821822925
NYASIA IVELISSE RIVERA
PENNSAUKEN, NJ
NPI
1821822925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ15111200)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
Mrs. NYASIA IVELISSE RIVERA FNP
6705 PARK AVE
PENNSAUKEN, NJ 08109-2480
Phone number: 856-662-0017
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Mailing Address
Mrs. NYASIA IVELISSE RIVERA FNP
2100 HADDONFIELD RD APT 6104
PENNSAUKEN, NJ 08110-1237
Phone number:
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