Individual
VIVIAN CHING RUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, RN
Contact information
Practice address
4100 E COMMERCE WAY STE 100, SACRAMENTO, CA 95834-9501
(916) 575-9090
Mailing address
4100 E COMMERCE WAY STE 100, SACRAMENTO, CA 95834-9501
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95016463
CA
Other
Enumeration date
05/17/2021
Last updated
07/15/2021
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