FREDRICK L RIVERS

LODI, CA
NPI1902581440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2023-06-21
Last Update Date2026-04-28
Business Address
FREDRICK L RIVERS
1111 W TOKAY ST STE A
LODI, CA 95240-3965
Phone number: 209-412-2388
Mailing Address
FREDRICK L RIVERS
1111 W TOKAY ST STE A
LODI, CA 95240-3965
Phone number: 209-412-2388