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Colleen Rivera
NPI 1013367051 · on the registry since 2016 · sole proprietor
Practice
- Address
- 20720 Lake Ridge Dr
Prior Lake, MN 55372 - Phone
- (612) 817-4441
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota