Healthcare Provider Details

I. General information

NPI: 1386883486
Provider Name (Legal Business Name): RHONDA JANE WILLIAMS-RICHMOND D. C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S MONTCLAIR ST STE C
BAKERSFIELD CA
93309-3110
US

IV. Provider business mailing address

200 S MONTCLAIR ST STE C
BAKERSFIELD CA
93309-3110
US

V. Phone/Fax

Practice location:
  • Phone: 661-342-6777
  • Fax: 661-847-9559
Mailing address:
  • Phone: 661-342-6777
  • Fax: 661-847-9559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number17583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: