Provider Demographics
NPI:1710132204
Name:CECALA, RHONDA C (LPN)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:C
Last Name:CECALA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:RHONDA
Other - Middle Name:C
Other - Last Name:WILCOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:337 NORTH BUFFALO STREET
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141
Mailing Address - Country:US
Mailing Address - Phone:716-592-2330
Mailing Address - Fax:
Practice Address - Street 1:337 NORTH BUFFALO STREET
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141
Practice Address - Country:US
Practice Address - Phone:716-592-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281494-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse