Provider Demographics
NPI:1871126961
Name:ADAMS, LINDA MARIE (RDN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7456 RED WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-5128
Mailing Address - Country:US
Mailing Address - Phone:916-254-8671
Mailing Address - Fax:
Practice Address - Street 1:UC DAVIS OCCUPATIONAL HEALTH
Practice Address - Street 2:ONE SHIELDS AVE - COWELL HALL ROOM 35
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616
Practice Address - Country:US
Practice Address - Phone:916-254-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
707379OtherACADEMY OF NUTRITION AND DIETETICS