| Raenette Lynn Neidhardt, RDN,LDN | |
|
Bldg 390 N Loop Road, Fort Irwin, CA 92310 | |
| (760) 383-5502 | |
| Not Available |
| Full Name | Raenette Lynn Neidhardt |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Bldg 390 N Loop Road, Fort Irwin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881357150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD.08548 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raenette Lynn Neidhardt, RDN,LDN 4720 Nancy St Unit B, Fort Irwin, CA 92310-3400 Ph: (937) 418-7522 | Raenette Lynn Neidhardt, RDN,LDN Bldg 390 N Loop Road, Fort Irwin, CA 92310 Ph: (760) 383-5502 |
Daniel Jacobsen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 390 N Loop Road, Fort Irwin, CA 92310 Phone: 760-383-5507 | |
Mr. Britain Lee Seaburn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3935 Bitter Springs Dr, Fort Irwin, CA 92310 Phone: 417-827-1328 | |
John Anthony Stunja, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: Building 166 Inner Loop Road, Weed Army Community Hospital, Fort Irwin, CA 92310 Phone: 760-380-5565 |