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Individual

MARK JOSEPH TERZOL RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6727 SHAVER DR, BAKERSFIELD, CA 93313-6454
(626) 977-4093
Mailing address
6727 SHAVER DR, BAKERSFIELD, CA 93313-6454
(626) 977-4093

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
157209275
CA

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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