Individual
RACHEL LYNN RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2907 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2375
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A173042
CA
390200000X
Student in an Organized Health Care Education/Training Program
TRN24742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TRN24742
—
FL
Enumeration date
06/30/2017
Last updated
08/17/2021
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