Individual
ANAFE M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13110 GATE DR, POWAY, CA 92064-5844
(619) 564-0143
Mailing address
13110 GATE DR, POWAY, CA 92064-5844
(619) 564-0143
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
374603816
CA
Other
Enumeration date
03/24/2022
Last updated
05/17/2022
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