Maelisa B Rider
NPI #1619561701 in Las Animas, Colorado
Provider Information
- NPI Number
- 1619561701
- Entity Type
- Individual
- Name
- Maelisa B Rider
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Mar 1, 2021
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 245 VINE AVE
- City
- Las Animas
- State
- Colorado
- ZIP Code
- 81054-1039
- Phone
- (719) 456-2653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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