Provider Demographics
NPI:1730795881
Name:RONDONE, VALERIE (RADIOGRAPHER (R)(CT))
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:RONDONE
Suffix:
Gender:F
Credentials:RADIOGRAPHER (R)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2574 RALEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6973
Mailing Address - Country:US
Mailing Address - Phone:916-715-7374
Mailing Address - Fax:
Practice Address - Street 1:2574 RALEIGH WAY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-6973
Practice Address - Country:US
Practice Address - Phone:916-715-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000878772085B0100X, 247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging