Provider Demographics
NPI:1245084052
Name:JONES, RHONITA SHALOM (MIDWIFE)
Entity type:Individual
Prefix:
First Name:RHONITA
Middle Name:SHALOM
Last Name:JONES
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 EAGLE BLVD APT K288
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3543
Mailing Address - Country:US
Mailing Address - Phone:720-616-9384
Mailing Address - Fax:
Practice Address - Street 1:2090 E 104TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4316
Practice Address - Country:US
Practice Address - Phone:720-616-9384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000235175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay