Provider Demographics
NPI:1346562790
Name:WAYSON, RHONDA LYNNE (MS)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LYNNE
Last Name:WAYSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:WAYSON
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6 QUINCY JUNCTION RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9112
Mailing Address - Country:US
Mailing Address - Phone:530-927-7680
Mailing Address - Fax:
Practice Address - Street 1:6 QUINCY JUNCTION RD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9112
Practice Address - Country:US
Practice Address - Phone:530-927-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator