NPI 1306995410

Debra Lynn Rivera, MSRD

Practitioner Dietary Manager Antioch, CA

Practice location

Address: 4501 Sand Creek Road, Antioch, CA 94531
Phone: (925) 516-6416

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 825201 (CA)

Other Dietary Manager providers in California →

Registry record

NPI: 1306995410
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.