Individual
LAURA C RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 S MOONEY BLVD, VISALIA, CA 93277-9396
(559) 747-3984
Mailing address
6200 S MOONEY BLVD, VISALIA, CA 93277-9396
(559) 747-3984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942191905
MEDI-CAL
CA
Enumeration date
11/14/2024
Last updated
04/15/2025
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