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Individual

MS. LISSETTE JOSEPHINE RIVERA-JORGE

Active
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Individual

MS. LISSETTE JOSEPHINE RIVERA-JORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD/N

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
ND 3813
FL
133V00000X
Registered Dietitian
ND 3813
FL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND3813
FL

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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