Individual
HEATHER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1530 W RIDGE DR, PRESCOTT, AZ 86305-7499
(480) 570-1429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86056564
IL
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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