Diana Rivera

NPI #1467012385 in Manteca, California

Provider Information

NPI Number: 1467012385
Entity Type: Individual
Name: Diana Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jun 13, 2019
Last Updated: Aug 11, 2022

Practice Location

Address: 302 CHERRY LN
City: Manteca
State: California
ZIP Code: 95337-4311
Phone: (209) 647-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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