Individual
MRS. ADELA CARMEN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
773 S OAK TREE DR, COVINA, CA 91723-3614
(626) 823-5802
Mailing address
773 S OAK TREE DRIVE, COVINA, CA 91723
(626) 823-5802
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0083984
CA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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