Individual
MRS. ALINA MANTHA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, IBCLC
Contact information
Practice address
2010 PAUL ST, SANFORD, NC 27330-8206
(406) 781-7024
Mailing address
2010 PAUL ST, SANFORD, NC 27330-8206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86025844
NC
133V00000X
Registered Dietitian
L004482
NC
174N00000X
Lactation Consultant (Non-RN)
Primary
L-166313
NC
Other
Enumeration date
09/08/2022
Last updated
02/18/2023
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