Individual
OLGA G RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2737 CHANTEL LN, PALMDALE, CA 93551-1596
(661) 839-6674
Mailing address
43824 20TH ST W UNIT 8206, LANCASTER, CA 93539-7686
(661) 839-6674
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
11619354
CA
342000000X
Transportation Network Company
11619354
CA
343900000X
Non-emergency Medical Transport (VAN)
11619354
CA
347C00000X
Private Vehicle
Primary
11619354
CA
Other
Enumeration date
05/12/2023
Last updated
05/17/2023
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