LISA DANIELLE RIVERA

PROVO, UT
NPI1134903131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  13462193-4901)
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
LISA DANIELLE RIVERA RDN
2693 W 530 N
PROVO, UT 84601-5890
Phone number: 801-885-2683
Mailing Address
LISA DANIELLE RIVERA RDN
2693 W 530 N
PROVO, UT 84601-5890
Phone number: 801-885-2683