Provider Demographics
NPI:1235985755
Name:ANDREWS, RONDA S (DSP)
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:S
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 HALLE DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1026
Mailing Address - Country:US
Mailing Address - Phone:440-319-2901
Mailing Address - Fax:
Practice Address - Street 1:410 HALLE DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-1026
Practice Address - Country:US
Practice Address - Phone:440-319-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver