Individual
SHIRLEY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
809 KEARNEY AVE, MODESTO, CA 95350-5749
(209) 452-5252
Mailing address
809 KEARNEY AVE, MODESTO, CA 95350-5749
(209) 452-5252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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