Individual
JURY OCLARIT RONQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1085 N HARBOR BLVD, ANAHEIM, CA 92801-2417
(714) 774-7777
(714) 399-4135
Mailing address
7077 MONROE AVE, BUENA PARK, CA 90620-3823
(917) 359-0858
(714) 723-6807
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
723534
CA
163WG0000X
General Practice Registered Nurse
Primary
95002787
CA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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