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1568545457
IDA RIVERA
LOS ANGELES, CA
NPI
1568545457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy20306)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Dr. IDA RIVERA Ph.D.
3075 WILSHIRE BLVD
LOS ANGELES, CA 90010-1205
Phone number: 213-639-4706
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Mailing Address
Dr. IDA RIVERA Ph.D.
3075 WILSHIRE BLVD
LOS ANGELES, CA 90010-1205
Phone number: 213-639-4706
Copy
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