Individual
LIONEL WAYNE RICE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9520 VIKING DR, EDEN PRAIRIE, MN 55344-3825
(347) 657-4337
Mailing address
735 COMMONWEALTH AVE, BRONX, NY 10473-3403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006186
PA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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