JACKIE RIVERA, LPN

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1093260747

Practice Address

807 N PROVIDENCE RD
Columbia, MO 65203

Phone: (573) 443-8706

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes 2010009084 (MO)

Frequently Asked Questions

NPI 1093260747 is the National Provider Identifier for JACKIE RIVERA, LPN, a Student in an Organized Health Care Education/Training Program provider located in Columbia, MO. This NPI was enumerated on August 23, 2016.
JACKIE RIVERA, LPN practices at 807 N PROVIDENCE RD, Columbia, MO 65203.

Quick Facts

NPI
1093260747
Type
Individual
Enumerated
Aug 23, 2016
Last Updated
Aug 23, 2016

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