Provider Demographics
NPI:1306269196
Name:ZONOOZI, RHONDA JEAN
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JEAN
Last Name:ZONOOZI
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 1:14719 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7203
Mailing Address - Country:US
Mailing Address - Phone:623-832-9304
Mailing Address - Fax:623-832-9356
Practice Address - Street 1:14719 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7203
Practice Address - Country:US
Practice Address - Phone:623-832-9304
Practice Address - Fax:623-832-9356
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator