Provider Demographics
NPI:1679355861
Name:RANCES, RONAN B
Entity type:Individual
Prefix:MR
First Name:RONAN
Middle Name:B
Last Name:RANCES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4984 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-6315
Mailing Address - Country:US
Mailing Address - Phone:925-381-9138
Mailing Address - Fax:925-775-0940
Practice Address - Street 1:4984 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-6315
Practice Address - Country:US
Practice Address - Phone:925-381-9138
Practice Address - Fax:925-775-0940
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA079200804310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility