Individual
GEORGIA RAE ROYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 439-7830
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 394-7830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95170033
CA
Other
Enumeration date
11/02/2018
Last updated
05/11/2023
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