Individual
BILLIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-2300
Mailing address
3728 GRASS VALLEY HWY, AUBURN, CA 95602-2002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95227929
CA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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