Provider Demographics
NPI:1891061974
Name:FREEMAN, RACHEL LOUVONIA (RD)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LOUVONIA
Last Name:FREEMAN
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 1:1429 CAPRI LN
Mailing Address - Street 2:APT. 5103
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-4009
Mailing Address - Country:US
Mailing Address - Phone:305-585-5301
Mailing Address - Fax:
Practice Address - Street 1:1009 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3212
Practice Address - Country:US
Practice Address - Phone:786-466-4007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1554133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered