Individual
MARIA TERESA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM/LM
Contact information
Practice address
630 AROMITAS RD, AROMAS, CA 95004-9691
(213) 909-6929
Mailing address
630 AROMITAS RD, AROMAS, CA 95004-9691
(213) 909-6929
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9999999999
PRIVATE
CA
Enumeration date
12/23/2020
Last updated
12/23/2020
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