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Individual

MR. JESSE JAY RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN, MS, CRNA

Contact information

Practice address
9850 GENESEE AVE STE 880, LA JOLLA, CA 92037-1233
(858) 404-9929
Mailing address
8861 VILLA LA JOLLA DR # 12237, LA JOLLA, CA 92037-1918
(760) 297-1284

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3576
CA

Other

Enumeration date
01/31/2007
Last updated
03/27/2020
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