Provider Demographics
NPI:1134625122
Name:NODEL, RHEA CLAUDIA
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:CLAUDIA
Last Name:NODEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:NOEDEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3103 ABELL AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3412
Mailing Address - Country:US
Mailing Address - Phone:347-512-0648
Mailing Address - Fax:
Practice Address - Street 1:2502 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4606
Practice Address - Country:US
Practice Address - Phone:347-512-0648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02483171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist