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Individual

JENNIFER RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2623 SUNBRIGHT DR, DIAMOND BAR, CA 91765-3550
(610) 563-8415
Mailing address
2623 SUNBRIGHT DR, DIAMOND BAR, CA 91765-3550
(610) 563-8415

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
CA
171400000X
Health & Wellness Coach
Primary
CA

Other

Enumeration date
03/21/2023
Last updated
03/21/2023
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