Individual
JUAN ENRIQUE RIVERA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 BEACON BLVD STE 103, WEST SACRAMENTO, CA 95691-3467
(916) 462-3100
Mailing address
4156 CITATION DR, OLIVEHURST, CA 95961-4902
(530) 845-4983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
97692
CA
Other
Enumeration date
03/30/2021
Last updated
01/18/2023
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