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Individual

MATTHEW RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
360 N RANCHO SANTIAGO BLVD, ORANGE, CA 92869
(951) 941-0508
Mailing address
360 N RANCHO SANTIAGO BLVD, ORANGE, CA 92869-3043
(951) 941-0508

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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