Individual
SAMANTHA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPSS-LGPAOD
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3428
Mailing address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3428
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-LGPAOD
CA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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