Individual
DIANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHERRY LN, MANTECA, CA 95337-4311
(209) 647-6200
Mailing address
302 CHERRY LN, MANTECA, CA 95337-4311
(209) 647-6200
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
08/11/2022
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