Individual
MARIA ELENA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5668 STETSON PL, OCEANSIDE, CA 92057-4829
(760) 622-6864
Mailing address
5668 STETSON PL, OCEANSIDE, CA 92057-4829
(760) 622-6864
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7340951
DRIVER LICENSE
CA
Enumeration date
09/13/2023
Last updated
09/13/2023
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