Individual
HENRY ALEXANDER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25618 CELLARS RANCH RD, HOMELAND, CA 92548-3226
(909) 586-0402
Mailing address
25618 CELLARS RANCH RD, HOMELAND, CA 92548-3226
(909) 586-0402
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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