Individual
CHRISTINA LYNN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(661) 337-8920
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(661) 337-8920
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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