Individual
MISS ANGIE GAUDETH RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-3687
(562) 942-8256
Mailing address
6606 ARBUTUS AVE, HUNTINGTON PARK, CA 90255-5222
(323) 633-4301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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