Individual
DOROTHY NI-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 BENDER ST, HINESVILLE, GA 31313-8081
(718) 869-0386
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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