Individual
EMMANUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 CENTENNIAL BLVD, SANTA CLARA, CA 95054-1229
(408) 562-4931
Mailing address
4949 CENTENNIAL BLVD, SANTA CLARA, CA 95054-1229
(408) 562-4931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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