Individual
SAMANTHA ISABEL RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8005 VIA VERONA, BURBANK, CA 91504-1534
(818) 795-5024
Mailing address
8005 VIA VERONA, BURBANK, CA 91504-1534
(818) 795-5024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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