Provider Demographics
NPI:1164008074
Name:DALTON, RIANA ROSE (RDN)
Entity Type:Individual
Prefix:MISS
First Name:RIANA
Middle Name:ROSE
Last Name:DALTON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 CARLY ANN LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-9040
Mailing Address - Country:US
Mailing Address - Phone:830-329-6074
Mailing Address - Fax:
Practice Address - Street 1:629 CARLY ANN LN
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-9040
Practice Address - Country:US
Practice Address - Phone:830-329-6074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered