Individual
SAMUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
946 EXETER AVE FRNT, EXETER, PA 18643-1254
(845) 476-4262
Mailing address
946 EXETER AVE FRNT, EXETER, PA 18643-1254
(845) 476-4262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008279
PA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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