Individual
IRENE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W VIOLA AVE, YAKIMA, WA 98902-5653
(509) 457-0914
Mailing address
40 W VIOLA AVE, YAKIMA, WA 98902-5653
(509) 457-0914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60109302
WA
Other
Enumeration date
05/13/2007
Last updated
10/15/2012
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