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Individual
MR. DAVID ANTONIO RIVERA JR.
Active
Individual
MR. DAVID ANTONIO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN 856
LA COUNTY DMH
CA
Enumeration date
07/29/2009
Last updated
07/29/2009
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