Individual
GERVACIO RIVERA VARGAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-7020
Mailing address
350 W EL CAMINO AVE, SACRAMENTO, CA 95833-2200
(707) 342-5499
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33810
CA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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