Individual
GEANNY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 S OAK AVE, OAKDALE, CA 95361-3519
(818) 454-4330
Mailing address
350 S. OAK AVE, OAKDALE, CA 95361
(818) 960-8031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000347
CA
Other
Enumeration date
05/16/2014
Last updated
02/07/2017
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