Individual
DANIELLE BREANNA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
2003 W FULTON ST STE 300, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
2003 W FULTON ST STE 300, CHICAGO, IL 60612-2345
(312) 850-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007219
IL
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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