Jaclyn Rivera

NPI #1295034791 in Farmingville, New York

Provider Information

NPI Number
1295034791
Entity Type
Individual
Name
Jaclyn Rivera
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 23, 2011
Last Updated
Mar 23, 2011

Practice Location

Address
115 OVERLOOK DR
ZIP Code
11738-3108
Phone
(631) 384-3333

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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