Individual
MS. GENESIS GARCIA VIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 W MILL ST, SAN BERNARDINO, CA 92408-1403
(909) 945-9613
Mailing address
6586 KERN PLACE, RANCHO CUCAMONGA, CA 91701
(909) 945-9613
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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