Individual
ANTHONY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8655 HAVEN AVE STE 200, RANCHO CUCAMONGA, CA 91730-4891
(800) 642-5031
Mailing address
1840 S BEVERLY GLEN BLVD APT 305, LOS ANGELES, CA 90025-6928
(424) 777-0286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
064769-1
NY
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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