Provider Demographics
NPI:1154583797
Name:RUTHEISER, CHRISTINA GIMBEL (CNHP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:GIMBEL
Last Name:RUTHEISER
Suffix:
Gender:F
Credentials:CNHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5902 BENTON HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2542
Mailing Address - Country:US
Mailing Address - Phone:410-426-0999
Mailing Address - Fax:
Practice Address - Street 1:5902 BENTON HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-2542
Practice Address - Country:US
Practice Address - Phone:410-426-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education