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Individual

ADRIANA COVARRUBIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5501 ANTIQUE ROSE WAY, RIVERBANK, CA 95367-9505
(209) 522-1650
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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