Individual
BRYAN JASON DORIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
320 BRUNSWICK DR, VALLEJO, CA 94591-6820
(415) 259-1377
Mailing address
320 BRUNSWICK DR, VALLEJO, CA 94591-6820
(415) 259-1377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95023704
CA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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