SHANE RIVERA

COMMERCE, CA
NPI1487015707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-03-14
Last Update Date2016-03-14
Business Address
-- SHANE RIVERA
5053 ASTOR AVE
COMMERCE, CA 90040-1301
Phone number: 323-722-4529
Mailing Address
-- SHANE RIVERA
5053 ASTOR AVE
COMMERCE, CA 90040-1301
Phone number:
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