Provider Demographics
NPI:1508743279
Name:MENEFEE, ANDREA MARIA (RD)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MARIA
Last Name:MENEFEE
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 1:5313 ROSALIND AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2446
Mailing Address - Country:US
Mailing Address - Phone:202-256-6413
Mailing Address - Fax:
Practice Address - Street 1:5313 ROSALIND AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2446
Practice Address - Country:US
Practice Address - Phone:202-256-6413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA811909133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered