Jasmine Rivera

NPI #1619317195 in Wailuku, Hawaii

Provider Information

NPI Number: 1619317195
Entity Type: Organization
Organization Name: Jasmine Rivera
Primary Specialty: Specialist
Enumeration Date: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 489 KOPAA PL
City: Wailuku
State: Hawaii
ZIP Code: 96793
Phone: (808) 277-6303

Authorized Official

Name: JASMINE RIVERA
Title: OWNER
Phone: (808) 277-6303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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