Individual
CANDACE TRUSHAY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 682-3100
(610) 682-4037
Mailing address
340 HART DR APT 14, EL CAJON, CA 92021-4550
(619) 571-1169
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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