Provider Demographics
NPI:1902416779
Name:SOLOMON, NAOMI (RD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:NAOMI ELLIESE
Other - Middle Name:GUECO
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3725 E BUCHTEL BLVD
Mailing Address - Street 2:APT 421
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:805-835-7078
Mailing Address - Fax:
Practice Address - Street 1:3725 E BUCHTEL BLVD
Practice Address - Street 2:APT 421
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-8021
Practice Address - Country:US
Practice Address - Phone:805-835-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86172113133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered