Provider Demographics
NPI:1205457694
Name:YODER, RHONDA MARIE
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MARIE
Last Name:YODER
Suffix:
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 1:33272 STATE ROUTE 643
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:OH
Mailing Address - Zip Code:43824-9054
Mailing Address - Country:US
Mailing Address - Phone:276-639-8228
Mailing Address - Fax:330-897-1358
Practice Address - Street 1:33272 STATE ROUTE 643
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:OH
Practice Address - Zip Code:43824-9054
Practice Address - Country:US
Practice Address - Phone:276-639-8228
Practice Address - Fax:330-897-1358
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000192176B00000X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife