Provider Demographics
NPI:1144851130
Name:RIGGS, PAMELA COLLEEN (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:COLLEEN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:SLOUGHHOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95683-0513
Mailing Address - Country:US
Mailing Address - Phone:916-312-5030
Mailing Address - Fax:916-312-5033
Practice Address - Street 1:7277 LONE PINE DR # C101
Practice Address - Street 2:
Practice Address - City:RANCHO MURIETA
Practice Address - State:CA
Practice Address - Zip Code:95683-9715
Practice Address - Country:US
Practice Address - Phone:916-312-5030
Practice Address - Fax:916-312-5033
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor