Provider Demographics
NPI:1790339315
Name:RIVERA-JONES, LUPITA ELAINE
Entity type:Individual
Prefix:MS
First Name:LUPITA
Middle Name:ELAINE
Last Name:RIVERA-JONES
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 1:404 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-8506
Mailing Address - Country:US
Mailing Address - Phone:360-608-0515
Mailing Address - Fax:
Practice Address - Street 1:404 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-8506
Practice Address - Country:US
Practice Address - Phone:360-608-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2024-06-27
Deactivation Date:2024-03-20
Deactivation Code:
Reactivation Date:2024-06-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula