Provider Demographics
NPI:1518541234
Name:TODD, ALANA CHRISTINA M (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:CHRISTINA M
Last Name:TODD
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44-155 LAHA ST APT 5
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2621
Mailing Address - Country:US
Mailing Address - Phone:808-721-6095
Mailing Address - Fax:
Practice Address - Street 1:44-155 LAHA ST APT 5
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2621
Practice Address - Country:US
Practice Address - Phone:808-721-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-09
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI271133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered