| Doctor Name: | MRS. WANDA ACUNA RIVERA |
| NPI Number: | 1679537104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD CD |
| License Number: | |
| Business Practice Address: | 6036 Cedar Ln Bldg 1277 Hill Afb, UT - 840565812 |
| Business Phone Number: | 8015866022 |
| Business Fax Number: | 8017775760 |
| Mailing Address: | 1641 N 2475 W, CLINTON |
| State: | UT |
| Postal Code: | 840158237 |
| Phone Number: | 8015866022 |
| Fax Number: | 8017775760 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |