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1699382028
STACEY A DE LA RIVA
SAN DIEGO, CA
NPI
1699382028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
STACEY A DE LA RIVA
5005 TEXAS ST STE 203
SAN DIEGO, CA 92108-3723
Phone number: 619-401-8375
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Mailing Address
STACEY A DE LA RIVA
5005 TEXAS ST STE 203
SAN DIEGO, CA 92108-3723
Phone number: 619-401-8375
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