Individual
TASHA JUSTINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
(559) 528-9319
Mailing address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
(559) 528-9319
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PP
CA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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