Individual
PATRICIA ANN LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
190 PINE GROVE DR, SOUTH HADLEY, MA 01075-2197
(413) 536-7392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
750
MA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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