Individual
LETICIA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E 7TH ST, MADERA, CA 93638-3780
(559) 673-3508
Mailing address
209 E 7TH ST, MADERA, CA 93638-3780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/10/2026
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