Individual
MR. RAYMOND CHARLES LARRIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC TECH.
Contact information
Practice address
13563 GRAY HAWK CT, EASTVALE, CA 92880-8897
(626) 705-1822
Mailing address
13563 GRAY HAWK CT, EASTVALE, CA 92880-8897
(626) 705-1822
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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