Individual
MS. KENNIE RIVERA RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LND
Contact information
Practice address
CARR. 685 KM 1.9 BO. TIERRAS NUEVAS, MANATI, PR 00674
(787) 562-1099
Mailing address
CONDOMINIO CADIZ 253 CALLE CHILE APT. 4C, SAN JUAN, PR 00917
(787) 562-1099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1699
PR
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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