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Jerry Rivas
Student in an Organized Health Care Education/Training Program in Richmond, California
NPI 1205490620

Jerry Rivas is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Jerry Rivas practices in Richmond, CA. The NPI Number for Jerry Rivas is 1205490620 and holds a License No. (California).

The current practice location address for Jerry Rivas is 205 39Th St, Richmond, CA and can be reached out via phone at 510-412-5930.

Location: 205 39Th St, Richmond, CA, 94602-3863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205490620
Provider Name
Jerry Rivas
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 39Th St, Richmond, CA, 94602-3863
Phone Number
510-412-5930
Fax Number
Provider Enumeration Date
05/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 39Th St
City
Richmond
State
California
Zip
94805-2212
Phone Number
510-412-5930
Fax Number
person
Provider Business Mailing Address Details
Address
205 39Th St
City
Richmond
State
California
Zip
94805-2212
Phone Number
510-412-5930
Fax Number
person
Provider's Taxonomy Details 1
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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