Individual
AITANA CECILIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 EL TORO LN, SAN MARCOS, CA 92069-2118
(760) 566-9669
Mailing address
PO BOX 2448, SAN MARCOS, CA 92079-2448
(760) 566-9669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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