Individual
MARILYSE ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
729 SUNRISE AVE, # 900, ROSEVILLE, CA 95661-4565
(916) 771-6539
Mailing address
729 SUNRISE AVE, # 900, ROSEVILLE, CA 95661-4565
(916) 771-6539
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22490
CA
Other
Enumeration date
08/27/2012
Last updated
01/03/2022
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