Individual
MRS. WANDA ACUNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
6036 CEDAR LN, BLDG 1277, HILL AFB, UT 84056-5812
(801) 586-6022
(801) 777-5760
Mailing address
1641 N 2475 W, CLINTON, UT 84015-8237
(801) 586-6022
(801) 777-5760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
12/07/2015
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