Provider Demographics
NPI:1326800046
Name:RONGA, TERESA WAEMBU
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:WAEMBU
Last Name:RONGA
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 1:185 FIELD ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6838
Mailing Address - Country:US
Mailing Address - Phone:508-840-1476
Mailing Address - Fax:
Practice Address - Street 1:185 FIELD ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6838
Practice Address - Country:US
Practice Address - Phone:508-840-1476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula