SearchArizona2355S0801X

Ebonee Rivers, SLPA

NPI 1205284023 · on the registry since 2016 · sole proprietor

Practice

Address
701 E Hazel Dr
Apt 3
Phoenix, AZ 85042
Phone
(602) 410-8926

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-02

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 Arizona