FERNANDO LUIS RIVERA

SAN JOSE, CA
NPI1205560786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-07-12
Last Update Date2023-06-26
Business Address
FERNANDO LUIS RIVERA
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284
Mailing Address
FERNANDO LUIS RIVERA
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 669-302-9745