Provider Demographics
NPI:1891454542
Name:HARRIS, RHONDA (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15152 65TH AVE S APT 811
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-8545
Mailing Address - Country:US
Mailing Address - Phone:253-888-2216
Mailing Address - Fax:
Practice Address - Street 1:15152 65TH AVE S APT 811
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-8545
Practice Address - Country:US
Practice Address - Phone:253-888-2216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program