Most Relevant Information
Provider Data
| NPI Number: | 1003521477 |
| Provider Name: | RIVERS J FREDERICK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/19/2023 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
4747 EARHART BLVD STE G
NEW ORLEANS
LA
701251747
Practice Location Phone/Fax
| Phone: | 5047311607 |
| Fax: | 5049103065 |
Provider Mailing Location
4747 EARHART BLVD STE G
NEW ORLEANS
LA
701251747
Provider Mailing Phone/Fax
| Phone: | 5047311607 |
| Fax: | 5049103065 |