Provider Demographics
NPI:1639896517
Name:GAMES, RONDAL
Entity Type:Individual
Prefix:
First Name:RONDAL
Middle Name:
Last Name:GAMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 SCOTT ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3660
Mailing Address - Country:US
Mailing Address - Phone:567-219-4551
Mailing Address - Fax:
Practice Address - Street 1:217 SCOTT ST APT 1B
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3660
Practice Address - Country:US
Practice Address - Phone:567-219-4551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker