Individual
MARY ANN RIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(626) 300-0229
Mailing address
1400 E OCEAN BLVD, #2212, LONG BEACH, CA 90802-6934
(562) 234-6866
(562) 432-6053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN4085640
—
CA
Enumeration date
11/16/2006
Last updated
07/01/2021
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