Individual
ROXANE RONCAROLO DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 MESA DR STE 5, OCEANSIDE, CA 92054-3701
(760) 736-8700
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95020083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497402184
NPI
CA
Enumeration date
03/03/2022
Last updated
02/24/2023
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