Juan Luis La Riva, SA
Juan Luis La Riva, SA is a Surgical Assistant in Mokena, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19015 S Jodi Rd Ste HMokena, IL 60448-8534
Phone: (866) 787-4452
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Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X |
|---|
Record details
| NPI number | 1275219313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA |
| Sole proprietor | No |
| NPI enumerated | June 23, 2023 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |
| Mailing address | 19015 S Jodi Rd Ste H, Mokena, IL 60448-8534 |
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Amanullah Hayat, RSA
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