Provider Demographics
NPI:1205252442
Name:COLEMAN, RHONDA (DAOM)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DAOM
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:MARBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6580 E TANQUE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3828
Mailing Address - Country:US
Mailing Address - Phone:520-609-0931
Mailing Address - Fax:
Practice Address - Street 1:6580 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3828
Practice Address - Country:US
Practice Address - Phone:520-609-0931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002106171100000X
CO13713174400000X
AZ010722171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist