Provider Demographics
NPI:1609177393
Name:RICE, DANA K (DRPH)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:K
Last Name:RICE
Suffix:
Gender:F
Credentials:DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 CLINTON ST
Mailing Address - Street 2:ANDREW BAIRD DETENTION FACILITY
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-2334
Mailing Address - Country:US
Mailing Address - Phone:313-224-0435
Mailing Address - Fax:313-224-0713
Practice Address - Street 1:570 CLINTON ST
Practice Address - Street 2:ANDREW BAIRD DETENTION FACILITY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-2334
Practice Address - Country:US
Practice Address - Phone:313-224-0435
Practice Address - Fax:313-224-0713
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker