Individual
MS. LESLIE JAQUELYN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
730 S TOWNSEND ST APT 1, SANTA ANA, CA 92704-2948
(714) 720-5516
Mailing address
730 S TOWNSEND ST APT 1, SANTA ANA, CA 92704-2948
(714) 720-5516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86359957
CA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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