Provider Demographics
NPI:1003489915
Name:RIVERS, MARESHIA ROCHELLE
Entity Type:Individual
Prefix:
First Name:MARESHIA
Middle Name:ROCHELLE
Last Name:RIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-6204
Mailing Address - Country:US
Mailing Address - Phone:713-894-2185
Mailing Address - Fax:
Practice Address - Street 1:3419 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-6204
Practice Address - Country:US
Practice Address - Phone:713-894-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant