Provider Demographics
NPI:1982056891
Name:RHODES, MAYA ANN
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:ANN
Last Name:RHODES
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 1:66 S GRAND OAKS AVE
Mailing Address - Street 2:APT 15
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4105
Mailing Address - Country:US
Mailing Address - Phone:510-295-3243
Mailing Address - Fax:
Practice Address - Street 1:66 S GRAND OAKS AVE
Practice Address - Street 2:APT 15
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4105
Practice Address - Country:US
Practice Address - Phone:510-295-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other