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1003218660
PATRICIA GUADALUPE RIVAS
VENICE, CA
NPI
1003218660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- PATRICIA GUADALUPE RIVAS
717 LINCOLN BLVD.
VENICE, CA 90291
Phone number: 310-399-9883
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Mailing Address
-- PATRICIA GUADALUPE RIVAS
5527 ROMAINE ST APT 4
LOS ANGELES, CA 90038-3273
Phone number: 323-203-4804
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