Individual
KATHLEEN RONQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 E SIERRA MADRE BLVD, PASADENA, CA 91107-1948
(626) 351-1300
(626) 351-1328
Mailing address
535 N ORANGE AVE, AZUSA, CA 91702-2830
(626) 513-3114
(626) 969-7280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004944
CA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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