Individual
MRS. ALEXIS YADIRA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11722 WASCO RD, GARDEN GROVE, CA 92841-1935
(714) 429-6656
Mailing address
11722 WASCO RD, GARDEN GROVE, CA 92841-1935
(714) 429-6656
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8138
CA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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