Provider Demographics
NPI:1235895707
Name:RODRIGUEZ, RHONDA FAYE
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:FAYE
Last Name:RODRIGUEZ
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 1:690 SUNNY LN UNIT C
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-9293
Mailing Address - Country:US
Mailing Address - Phone:775-835-1293
Mailing Address - Fax:
Practice Address - Street 1:1830 E SAHARA AVE STE 113
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3738
Practice Address - Country:US
Practice Address - Phone:877-768-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide