Individual
DEISI RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 S DITMAN AVE, LOS ANGELES, CA 90023-1812
(619) 941-9466
Mailing address
728 S DITMAN AVE, LOS ANGELES, CA 90023-1812
(619) 941-9466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
001095075
CA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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