Provider Demographics
NPI:1922360775
Name:YOLANGCO, RODLYN ANN I
Entity Type:Individual
Prefix:MISS
First Name:RODLYN
Middle Name:ANN
Last Name:YOLANGCO
Suffix:I
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 1:910 DAWN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6608
Mailing Address - Country:US
Mailing Address - Phone:702-308-8852
Mailing Address - Fax:
Practice Address - Street 1:910 DAWN VALLEY DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6608
Practice Address - Country:US
Practice Address - Phone:702-308-8852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner