Individual
MRS. MILENA A RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1253 SUNSET AVE, PERRIS, CA 92571-0700
(951) 580-9918
Mailing address
1253 SUNSET AVE, PERRIS, CA 92571-0700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88697
NEUROMUSCULAR AND HEALTH EDUCATOR THERAPIST
CA
Enumeration date
05/24/2022
Last updated
05/24/2022
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