Individual
ASHLEY LANE RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1650 SPRUCE ST STE 250, RIVERSIDE, CA 92507-7429
(951) 565-1369
Mailing address
1046 RANCHO VALENCIA DR, RIVERSIDE, CA 92508-8727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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