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1003214297
SHANNON RIVERA
WEST COVINA, CA
NPI
1003214297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 52148)
Enumeration Date
2014-12-20
Last Update Date
2021-12-13
Business Address
Mrs. SHANNON RIVERA PA-C
1115 S SUNSET AVE
WEST COVINA, CA 91790-3940
Phone number: 626-962-4011
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Mailing Address
Mrs. SHANNON RIVERA PA-C
9449 IMPERIAL HWY
DOWNEY, CA 90242-2814
Phone number: 562-657-4530
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