Brodrik Donald Rivers

NPI #1902410178 in Wasilla, Alaska

Provider Information

NPI Number: 1902410178
Entity Type: Individual
Name: Brodrik Donald Rivers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Sep 3, 2020
Last Updated: Sep 3, 2020

Practice Location

Address: 1401 S SEWARD MERIDIAN PKWY STE AB
City: Wasilla
State: Alaska
ZIP Code: 99654-8312
Phone: (907) 631-3520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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