Basic Information
Provider Information
NPI: 1811462781
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMES
FirstName: RHONDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2296 EASY ST
Address2:  
City: WENATCHEE
State: WA
PostalCode: 988015812
CountryCode: US
TelephoneNumber: 5096630630
FaxNumber:  
Practice Location
Address1: 1230 MONITOR ST
Address2:  
City: WENATCHEE
State: WA
PostalCode: 988013534
CountryCode: US
TelephoneNumber: 5093001221
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/08/2018
LastUpdateDate: 10/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
376K00000XNC60015167WAY Nursing Service Related ProvidersNurse's Aide 

No ID Information.


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