Basic Information
| Provider Information | |||||||||
| NPI: | 1457933640 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AROCHA | ||||||||
| FirstName: | RYANNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7110 MICHIGAN RD | ||||||||
| Address2: | |||||||||
| City: | BAY CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487069310 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3727 WILDER RD | ||||||||
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| City: | BAY CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487062367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9898605176 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2021 | ||||||||
| LastUpdateDate: | 04/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374700000X | MI | Y | Nursing Service Related Providers | Technician |
No ID Information.