Provider Demographics
NPI:1871374314
Name:REKIK, RAHMA (RD/RDN)
Entity type:Individual
Prefix:
First Name:RAHMA
Middle Name:
Last Name:REKIK
Suffix:
Gender:F
Credentials:RD/RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 GLISSADE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3660
Mailing Address - Country:US
Mailing Address - Phone:434-227-2271
Mailing Address - Fax:
Practice Address - Street 1:6285 E SPRING ST # 284
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-4020
Practice Address - Country:US
Practice Address - Phone:562-424-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered