Individual
MRS. JEANNETE RIVERA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
964
PR
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
05/30/2007
Last updated
11/14/2023
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