Individual
JENNIFER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 W 190TH ST STE 2300, GARDENA, CA 90248-4350
(310) 892-5812
Mailing address
PO BOX 1133, WILMINGTON, CA 90748-1133
(323) 672-0048
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9785
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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