Provider Demographics
NPI:1811450455
Name:SMITH BRUSTOSKI, RHONDALYNN MELODY (ND)
Entity type:Individual
Prefix:
First Name:RHONDALYNN
Middle Name:MELODY
Last Name:SMITH BRUSTOSKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4407
Mailing Address - Country:US
Mailing Address - Phone:440-394-8552
Mailing Address - Fax:
Practice Address - Street 1:539 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4407
Practice Address - Country:US
Practice Address - Phone:440-394-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath