Individual
MRS. MARCY ROACH RONNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
10725 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7967
(916) 631-4153
Mailing address
10725 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7967
(916) 631-4153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661185
CA
176B00000X
Midwife
Primary
1775
CA
363L00000X
Nurse Practitioner
17378
CA
Other
Enumeration date
07/11/2007
Last updated
01/11/2022
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