Individual
JENNIFER JAZMINE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1503 S COAST DR STE 202, COSTA MESA, CA 92626-1527
(949) 515-5440
Mailing address
602 E 3RD ST, SANTA ANA, CA 92701-4831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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