Provider Demographics
NPI:1558667626
Name:QUESSENBERRY, RODNEY LAURENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:LAURENCE
Last Name:QUESSENBERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 CHAPEL CT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3427
Mailing Address - Country:US
Mailing Address - Phone:209-526-0276
Mailing Address - Fax:
Practice Address - Street 1:2716 CHAPEL CT
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3427
Practice Address - Country:US
Practice Address - Phone:209-526-0276
Practice Address - Fax:209-526-0276
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor