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NPI Code Detail

MEDICARE: MS. VALERIA ANTONELLA CUEVAS RIVERA RD

MEDICARE: MS. VALERIA ANTONELLA CUEVAS RIVERA RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86253421CA

General Provider Information

NPI Number : 1255065546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VALERIA ANTONELLA CUEVAS RIVERA RD
Provider Business Mailing Address
First Line : 1650 N VISTA AVE
Second Line :
City : RIALTO
State : CA
Zip : 92376-2751
Country : US
Telephone Number : 323-994-9195
Fax Number :
Provider Business Practice Location Address
First Line : 5425 POMONA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1716
Country : US
Telephone Number : 323-728-0411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 07/12/2022

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Directions to “ MS. VALERIA ANTONELLA CUEVAS RIVERA RD” Practice Location

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