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Dr. Alicia Rivera
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1053759639

Alicia Rivera is a Student in an Organized Health Care Education/Training Program based in Long Beach, CA. Alicia Rivera practices in San Bernardino, CA. The NPI Number for Alicia Rivera is 1053759639 and holds a License No. (California).

The current practice location address for Alicia Rivera is 1481 Windsor Dr, San Bernardino, CA and can be reached out via phone at 909-361-6470.

Location: 1481 Windsor Dr, San Bernardino, CA, 90806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053759639
Provider Name
Alicia Rivera
Credential
Provider Entity Type
Individual
Gender
Female
Address
1481 Windsor Dr, San Bernardino, CA, 90806
Phone Number
909-361-6470
Fax Number
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780926964 05 CA
institution
Provider Business Practice Location Address Details
Address
1481 Windsor Dr
City
San Bernardino
State
California
Zip
92404-5416
Phone Number
909-361-6470
Fax Number
person
Provider Business Mailing Address Details
Address
1481 Windsor Dr
City
San Bernardino
State
California
Zip
92404-5416
Phone Number
909-361-6470
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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