Individual
MARSHA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1990 MOSS BEACH CT, GROVER BEACH, CA 93433-1872
(805) 801-3023
Mailing address
1990 MOSS BEACH CT, GROVER BEACH, CA 93433-1872
(805) 801-3023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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