De La Riva, Selena

De La Riva, Selena is an individual health care provider with primary practice located at 1600 W Roosevelt Rd , Broadview IL 60155-4024. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. De La Riva, Selena can be contacted via phone (708) 343-5323.

Contact Information

Primary practice address
1600 W Roosevelt Rd Broadview IL 60155-4024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 049279949 Illinois

Profile Details

NPI number 1376128538
LBN Legal business name De La Riva, Selena
Credentials TECHNICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2021
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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