Provider Demographics
NPI:1003827973
Name:TENUTA, RACHEL V (RD)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:V
Last Name:TENUTA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3861
Mailing Address - Country:US
Mailing Address - Phone:917-797-8938
Mailing Address - Fax:401-315-0478
Practice Address - Street 1:110 MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3861
Practice Address - Country:US
Practice Address - Phone:917-797-8938
Practice Address - Fax:401-315-0478
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN 00576133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered