Individual
AMERICA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40629 MELROSE DR, TEMECULA, CA 92591-6062
(951) 595-2495
Mailing address
40629 MELROSE DR, TEMECULA, CA 92591-6062
(951) 595-2495
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
202461210136
CA
Other
Enumeration date
04/22/2024
Last updated
02/01/2025
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