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Lucelly Medeiros Rivera

NPI 1962977447 · on the registry since 2018

Practice

Address
3808 S Angeline St, Seattle, Wa 98118
Seattle, WA 98118
Phone
(206) 461-4880

Additional practice sites

  • 13940 Ne 166th St, Woodinville, WA

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101Y00000X
101YM0800X
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-04

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 Washington