Individual
RONNY ANCOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2574
Mailing address
5316 LOTUS POND WAY, ELK GROVE, CA 95757-4343
(916) 686-1295
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3097
CA
Other
Enumeration date
12/13/2006
Last updated
12/30/2021
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