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Individual

MRS. DOLORES ANDREA RIVIERA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
(818) 898-4826
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 365-4031

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
124555
CA

Other

Enumeration date
08/18/2005
Last updated
07/08/2007
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