Individual
EMILIO RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4093 BROCKTON AVE, RIVERSIDE, CA 92501-3440
(909) 653-7754
Mailing address
290 E F ST, COLTON, CA 92324-3002
(909) 653-7754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94788
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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