Provider Demographics
NPI:1609399914
Name:VONNER, FALESHA
Entity Type:Individual
Prefix:MS
First Name:FALESHA
Middle Name:
Last Name:VONNER
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 1:601 VINE ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4171
Mailing Address - Country:US
Mailing Address - Phone:832-401-2251
Mailing Address - Fax:
Practice Address - Street 1:601 VINE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4171
Practice Address - Country:US
Practice Address - Phone:832-401-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health