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Roxane Roncarolo De Vries
Women's Health Nurse Practitioner in Oceanside, California
NPI 1497402184

Roxane Roncarolo De Vries is a Women's Health Nurse Practitioner based in San Jose, CA and is specialized in Women's Health. Roxane Roncarolo De Vries practices in Oceanside, CA. The NPI Number for Roxane Roncarolo De Vries is 1497402184 and holds a License No. 95020083 (California).

The current practice location address for Roxane Roncarolo De Vries is 2210 Mesa Dr Ste 5, Oceanside, CA and can be reached out via phone at 760-736-8700.

Location: 2210 Mesa Dr Ste 5, Oceanside, CA, 95126-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497402184
Provider Name
Roxane Roncarolo De Vries
Credential
Provider Entity Type
Individual
Gender
Female
Address
2210 Mesa Dr Ste 5, Oceanside, CA, 95126-2203
Phone Number
760-736-8700
Fax Number
Provider Enumeration Date
03/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497402184 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
2210 Mesa Dr Ste 5
City
Oceanside
State
California
Zip
92054-3701
Phone Number
760-736-8700
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Mesa Dr Ste 5
City
Oceanside
State
California
Zip
92054-3701
Phone Number
760-736-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
95020083 (California)
Definition
Definition to come...
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