Provider Demographics
NPI:1568015295
Name:RICE, MARGARETTA BEATRICE
Entity Type:Individual
Prefix:
First Name:MARGARETTA
Middle Name:BEATRICE
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 S RAINBOW BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1855
Mailing Address - Country:US
Mailing Address - Phone:702-845-2265
Mailing Address - Fax:
Practice Address - Street 1:5625 S RAINBOW BLVD STE C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1855
Practice Address - Country:US
Practice Address - Phone:702-845-2265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty