Individual
MRS. YVONNE LOUISE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R N
Contact information
Practice address
2521 STOCKTON BLVD FL 3, SACRAMENTO, CA 95817-2207
(916) 734-7006
(916) 734-0980
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-7006
(916) 734-0980
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
397650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07202
UC DAVIS PROVIDER ID
CA
Enumeration date
02/25/2009
Last updated
02/25/2009
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