Individual
SARIMIN RIVERA LLAVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4501 BROADWAY ST, MOUNT VERNON, WA 98274-3003
(425) 214-3227
Mailing address
4501 BROADWAY ST, MOUNT VERNON, WA 98274-3003
(425) 214-3227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
941555
WA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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