Healthcare Provider Details

I. General information

NPI: 1538083126
Provider Name (Legal Business Name): RHONDA DEE MARTINHO LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 HIGHWAY 101 N
CRESCENT CITY CA
95531-0000
US

IV. Provider business mailing address

1070 HIGHWAY 101 N
CRESCENT CITY CA
95531-0000
US

V. Phone/Fax

Practice location:
  • Phone: 707-353-2500
  • Fax:
Mailing address:
  • Phone: 707-353-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number192254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: