Provider Demographics
NPI:1851904692
Name:NEUHARTH, ALMA ROSA (RD)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:ROSA
Last Name:NEUHARTH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4914 NE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-3771
Mailing Address - Country:US
Mailing Address - Phone:562-556-3556
Mailing Address - Fax:
Practice Address - Street 1:4214 CALEDONIA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3612
Practice Address - Country:US
Practice Address - Phone:562-556-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-30
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered