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Individual
MR. PETER A. RIVERA
Active
Individual
MR. PETER A. RIVERA
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
—
ICAN778
LA COUNTY DMH
CA
Enumeration date
09/18/2007
Last updated
09/18/2007
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