Individual
GEORGETTE ANN RIVERA-LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11188 ANDERSON ST, LOMA LINDA, CA 92354-2833
(909) 558-7754
Mailing address
25180 5TH ST APT 203, SAN BERNARDINO, CA 92410-5163
(909) 212-9514
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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