Provider Information for 1821544420
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ANASTASIA RIVERA ACSW
Sex: Female
NPI: 1821544420
Last Updated: 2023-11-15
Certification Date: 2023-11-15
Certification Date: 2023-11-15
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1821544420 | ||||||||||||||||||||||||
| Enumeration Date | 2016-09-01 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 3727 COLLINGWOOD DR BAKERSFIELD, CA 93311-8757 United States Phone: 661-808-3513 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 3727 COLLINGWOOD DR BAKERSFIELD, CA 93311-8757 United States Phone: 661-808-3513 | Fax: | ||||||||||||||||||||||||
| Secondary Practice Address(es) | 5121 STOCKDALE HWY 275, 3105 WILSON RD 601 2ND ST | ||||||||||||||||||||||||
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