Provider Demographics
NPI:1528930625
Name:RICE, BONNIE
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:RICE
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 1:26149 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-6205
Mailing Address - Country:US
Mailing Address - Phone:951-282-9765
Mailing Address - Fax:
Practice Address - Street 1:26149 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-6205
Practice Address - Country:US
Practice Address - Phone:951-282-9765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management