Individual
GREGORY BAKARI RIVERA-PENRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
04/23/2025
Last updated
11/18/2025
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