Provider Demographics
NPI:1235619883
Name:RAYOLA, MARGARET ADHIAMBO
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ADHIAMBO
Last Name:RAYOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 N MARQUIS WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1288
Mailing Address - Country:US
Mailing Address - Phone:408-448-0726
Mailing Address - Fax:
Practice Address - Street 1:734 N MARQUIS WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-1288
Practice Address - Country:US
Practice Address - Phone:408-480-0726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA631993163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse