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1790566644
JANNELLE RIVAS
RIVERSIDE, CA
NPI
1790566644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2023-10-06
Last Update Date
2023-11-08
Business Address
JANNELLE RIVAS
4164 BROCKTON AVE
RIVERSIDE, CA 92501-3400
Phone number: 951-683-5193
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Mailing Address
JANNELLE RIVAS
4164 BROCKTON AVE
RIVERSIDE, CA 92501-3400
Phone number:
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