Individual
JUAN RONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 C ST STE 200E, SACRAMENTO, CA 95816-3363
(916) 447-6267
(916) 456-5842
Mailing address
3301 C ST STE 200E, SACRAMENTO, CA 95816-3363
(916) 447-6267
(916) 456-5842
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A144144
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/26/2014
Last updated
02/02/2021
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