Provider Demographics
NPI:1942192018
Name:YEMANE, REDIET SOLOMON (RDN)
Entity type:Individual
Prefix:
First Name:REDIET SOLOMON
Middle Name:
Last Name:YEMANE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MORTON AVE APT 412
Mailing Address - Street 2:
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2417
Mailing Address - Country:US
Mailing Address - Phone:605-592-6558
Mailing Address - Fax:
Practice Address - Street 1:111 MORTON AVE APT 412
Practice Address - Street 2:
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2417
Practice Address - Country:US
Practice Address - Phone:605-592-6558
Practice Address - Fax:605-592-6558
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86300231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered