Individual
LYDIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14169 PADDOCK STREET, SYLMAR, CA 91342
(818) 675-7685
Mailing address
14169 PADDOCK STREET, SYLMAR, CA 91342
(818) 675-7685
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/24/2022
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