Provider Demographics
NPI:1285183319
Name:SMATHERS, REINA (RDN)
Entity Type:Individual
Prefix:MRS
First Name:REINA
Middle Name:
Last Name:SMATHERS
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 1:66-437 KAMEHAMEHA HWY UNIT 1003
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-3044
Mailing Address - Country:US
Mailing Address - Phone:808-772-3976
Mailing Address - Fax:
Practice Address - Street 1:66-437 KAMEHAMEHA HWY UNIT 1003
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-3044
Practice Address - Country:US
Practice Address - Phone:808-772-3976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered