Provider Demographics
NPI:1740496629
Name:FLORES, RHAPSODY O
Entity type:Individual
Prefix:MISS
First Name:RHAPSODY
Middle Name:O
Last Name:FLORES
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 1:325 UNION AVE
Mailing Address - Street 2:APT. 321
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-4253
Mailing Address - Country:US
Mailing Address - Phone:408-559-5078
Mailing Address - Fax:
Practice Address - Street 1:325 UNION AVE
Practice Address - Street 2:APT. 321
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-4253
Practice Address - Country:US
Practice Address - Phone:408-559-5078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker