Individual
RHONDA VENISE EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
314 BASIN ST SW, EPHRATA, WA 98823-1850
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60887927
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407601
LABOR AND INDUSTRIES
WA
05
—
2123630
—
WA
Enumeration date
09/26/2006
Last updated
06/08/2020
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