Provider Demographics
NPI:1881760528
Name:FRECHMAN, RUTH A (MA,RD)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:A
Last Name:FRECHMAN
Suffix:
Gender:F
Credentials:MA,RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 W VICTORY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1561
Mailing Address - Country:US
Mailing Address - Phone:818-843-6628
Mailing Address - Fax:818-846-1822
Practice Address - Street 1:3316 W VICTORY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1561
Practice Address - Country:US
Practice Address - Phone:818-843-6628
Practice Address - Fax:818-846-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered