Provider Demographics
NPI:1942375092
Name:RICE, VALERIE A (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:A
Last Name:RICE
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 1:32645 FOOTHILL RD
Mailing Address - Street 2:
Mailing Address - City:LUCERNE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92356-7651
Mailing Address - Country:US
Mailing Address - Phone:760-248-2255
Mailing Address - Fax:
Practice Address - Street 1:32639 LARAMIE ST.
Practice Address - Street 2:
Practice Address - City:LUCERNE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92356
Practice Address - Country:US
Practice Address - Phone:760-248-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19955111N00000X
WY558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0199550Medicare ID - Type Unspecified
CAC88706Medicare UPIN