Organization
LIFE BALANCE NUTRITION LLC
Active
Other names
Marina Rivera-Ridens
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA RIVERA-RIDENS MS, RD, LD (OWNER/REGISTERED DIETITIAN)
(713) 927-8824
Entity
Organization
Contact information
Practice address
901 NE LOOP 410 STE 508, SAN ANTONIO, TX 78209-1306
(713) 927-8824
Mailing address
6039 FOREST RDG, SAN ANTONIO, TX 78240-3217
(713) 927-8824
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82380
TX
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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