Individual
RHONDA BRONSTON RILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2485 POSSUM RUN RD, MANSFIELD, OH 44903-9447
(419) 756-7295
(419) 756-7574
Mailing address
949 STATE ROUTE 314 SOUTH, MANSFIELD, OH 44903
(419) 756-7295
(419) 756-7574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3593/T1526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881658
—
OH
Enumeration date
06/01/2005
Last updated
03/07/2014
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