KRYZTO RIVERA

SAN LUIS OBISPO, CA
NPI1912245036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  33366)
Enumeration Date2013-01-24
Last Update Date2013-01-24
Business Address
-- KRYZTO RIVERA PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
Mailing Address
-- KRYZTO RIVERA PT
7460 VALLE AVE
ATASCADERO, CA 93422-7613
Phone number:
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