Individual
MISS DANIELLE YVETTTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 W 97TH ST, LOS ANGELES, CA 90003-3968
(323) 754-2856
Mailing address
1616 FEDERAL AVE, B, LOS ANGELES, CA 90025-2981
(209) 609-3048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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