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1205560786
FERNANDO LUIS RIVERA
SAN JOSE, CA
NPI
1205560786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-07-12
Last Update Date
2023-06-26
Business Address
FERNANDO LUIS RIVERA
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284
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Mailing Address
FERNANDO LUIS RIVERA
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 669-302-9745
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