Individual
HERMELINDA GONZALEZ RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
Mailing address
1141 PEAR TREE LN, NAPA, CA 94558-6484
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
796042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796042
—
CA
Enumeration date
04/08/2016
Last updated
04/08/2016
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