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SHANNON A RIVERA — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA)

SHANNON A RIVERA — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: SHANNON A RIVERA; Type: Individual; NPI: 1003214297.

NameSHANNON A RIVERA
TypeIndividual
NPI1003214297
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateCA
Enrollment IDI20150317002722
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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