Individual
DR. JENNIFER BISSONETTE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1841 IRON POINT RD, FOLSOM, CA 95630-8838
(916) 983-9895
Mailing address
9197 SADDLESPUR WAY, GRANITE BAY, CA 95746-8827
(916) 599-4643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A87659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028370
—
CA
Enumeration date
09/06/2005
Last updated
08/02/2022
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