Individual
CATHERINE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9569 MONTICELLO ST, PACOIMA, CA 91331-1529
(818) 689-6031
Mailing address
9569 MONTICELLO ST, PACOIMA, CA 91331-1529
(818) 689-6031
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702562
CA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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