Provider Demographics
NPI:1689420622
Name:HARMON, RASHONDA G (CPRS)
Entity type:Individual
Prefix:MS
First Name:RASHONDA
Middle Name:G
Last Name:HARMON
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 N EVERGREEN AVE APT 17B
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-4812
Mailing Address - Country:US
Mailing Address - Phone:267-626-0973
Mailing Address - Fax:
Practice Address - Street 1:601 S BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1837
Practice Address - Country:US
Practice Address - Phone:856-428-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNA200008092376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide