Individual
MARINA GLORIA RIVERA-RIDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
901 NE LOOP 410, SAN ANTONIO, TX 78209-1305
(210) 253-9763
(210) 255-1681
Mailing address
6039 FOREST RDG, SAN ANTONIO, TX 78240-3217
(713) 927-8824
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
DT82380
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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