Provider Demographics
NPI:1528867074
Name:NAAMANI, REEM (RDN)
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:NAAMANI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8755 N CHESTNUT AVE APT 117
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5385
Mailing Address - Country:US
Mailing Address - Phone:559-348-8994
Mailing Address - Fax:
Practice Address - Street 1:8755 N CHESTNUT AVE APT 117
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-5385
Practice Address - Country:US
Practice Address - Phone:559-348-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86403550133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered