Provider Demographics
NPI:1194431833
Name:RICH, JAMAICA RAE
Entity type:Individual
Prefix:
First Name:JAMAICA
Middle Name:RAE
Last Name:RICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3888 GENESEE AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3253
Mailing Address - Country:US
Mailing Address - Phone:858-295-9424
Mailing Address - Fax:
Practice Address - Street 1:3888 GENESEE AVE APT 211
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3253
Practice Address - Country:US
Practice Address - Phone:858-295-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula