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1740970391
CRYSTAL D RIVAS
APPLE VALLEY, CA
NPI
1740970391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 3011)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
CRYSTAL D RIVAS COTA/L
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-955-3674
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Mailing Address
CRYSTAL D RIVAS COTA/L
19280 YANAN RD
APPLE VALLEY, CA 92307-4759
Phone number: 909-235-3380
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