Individual
MRS. DEBRA LYNN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
4501 SAND CREEK ROAD, ANTIOCH, CA 94531
(925) 516-6416
Mailing address
4501 SAND CREEK ROAD, ANTIOCH, CA 94531
(925) 516-6416
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
825201
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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