Individual
JEREMY FRED RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6905 HARRIS AVE, KAILUA, HI 96734
(702) 637-5427
Mailing address
3860 CLAUDINE ST, HONOLULU, HI 96816-4331
(702) 637-5427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0506214
NV
2255A2300X
Athletic Trainer
Primary
AT-447-0
HI
Other
Enumeration date
08/07/2020
Last updated
07/16/2025
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