Provider Demographics
NPI:1386883486
Name:WILLIAMS-RICHMOND, RHONDA JANE (D C)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:JANE
Last Name:WILLIAMS-RICHMOND
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S MONTCLAIR ST STE C
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-3110
Mailing Address - Country:US
Mailing Address - Phone:661-342-6777
Mailing Address - Fax:661-847-9559
Practice Address - Street 1:200 S MONTCLAIR ST STE C
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3110
Practice Address - Country:US
Practice Address - Phone:661-342-6777
Practice Address - Fax:661-847-9559
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17583111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0175830Medicare UPIN