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Individual

ELUIS OMAR RIVAS RIVERA

Active
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Individual

ELUIS OMAR RIVAS RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSN

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—

Other

Enumeration date
10/01/2025
Last updated
10/24/2025
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