MEDICARE: ANNA G. HARLEMAN R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	926487	CA
2	132700000X	Dietary Manager	00926487	CA

General Provider Information

NPI Number	:	1053435610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA G. HARLEMAN R.D.

Provider Business Mailing Address
First Line	:	19270 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5414
Country	:	US
Telephone Number	:	707-939-6070
Fax Number	:

Provider Business Practice Location Address
First Line	:	19270 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5414
Country	:	US
Telephone Number	:	707-939-6070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	01/06/2026

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