Individual
EVELYN CUARESMA RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4352 FOUNTAIN AVENUE, L A, CA 90029
(323) 913-9094
(323) 913-2492
Mailing address
4352 FOUNTAIN AVENUE, L A, CA 90029
(323) 913-9094
(323) 913-2492
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37002
CA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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