Individual
RONNIE ANTHONY FEMATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8919 CALIFORNIA AVE, SOUTH GATE, CA 90280-3013
(323) 487-5002
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KSLWTO
CA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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