Maelisa B Rider
Maelisa B Rider is a Dental Hygienist in Las Animas, Colorado. Licensed in Colorado. Registered with an NPI since 2021.
- Licensed in
- CO
- In the registry since
- 2021
Practice location Address checks out
245 Vine AveLas Animas, CO 81054-1039
Phone: (719) 456-2653
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence 2025220 (CO) |
|---|
Record details
| NPI number | 1619561701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 1, 2021 |
| Last updated in NPPES | March 1, 2021 |
| Certification date | March 1, 2021 |
| Mailing address | 245 Vine Ave, Las Animas, CO 81054-1039 |