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1164113080
MA ELAINE RIVERA MANUEL
MONROVIA, CA
NPI
1164113080
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Other Name
MA ELAINE LISING RIVERA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
MA ELAINE RIVERA MANUEL
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 626-775-7888
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Mailing Address
MA ELAINE RIVERA MANUEL
6398 PEGASUS CT
EASTVALE, CA 91752-7613
Phone number: 510-219-1921
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