Individual
ANTHONY RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4441 BALFOUR RD STE B, BRENTWOOD, CA 94513-1409
(925) 308-5756
Mailing address
4804 WOODBRIDGE WAY, ANTIOCH, CA 94531-8114
(415) 516-1786
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
06/11/2019
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