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Individual

KELSEY LAUREN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, IBCLC

Contact information

Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7139
Mailing address
645 PARFET ST, LAKEWOOD, CO 80215-5574

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
174N00000X
Lactation Consultant (Non-RN)

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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