Most Relevant Information
Provider Data
| NPI Number: | 1003518093 |
| Provider Name: | JOHN RYAN MADSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2023 |
| Last Updated: | 07/07/2024 |
Provider Practice Location
4860 Y ST STE 3100
SACRAMENTO
CA
958172307
Practice Location Phone/Fax
| Phone: | 9167345739 |
| Fax: |
Provider Mailing Location
31700 TEMECULA PKWY STE 2
TEMECULA
CA
925925896
Provider Mailing Phone/Fax
| Phone: | 9516004337 |
| Fax: |