LIONEL WAYNE RICE

EDEN PRAIRIE, MN
NPI1770930018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT006186)
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
-- LIONEL WAYNE RICE ATC
9520 VIKING DR
EDEN PRAIRIE, MN 55344-3825
Phone number: 347-657-4337
Mailing Address
-- LIONEL WAYNE RICE ATC
735 COMMONWEALTH AVE
BRONX, NY 10473-3403
Phone number: