Organization
ASSOCIATES FAMILY FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELITA RONQUILLO REYES DPM (MANAGING MEMBER)
(330) 759-8690
Entity
Organization
Contact information
Practice address
3200 BELMONT AVE, YOUNGSTOWN, OH 44505-1862
(330) 759-8690
(330) 759-3988
Mailing address
PO BOX 128, GIRARD, OH 44420-0128
(330) 759-8690
(330) 759-3988
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003113R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302501
—
OH
Enumeration date
02/21/2007
Last updated
02/02/2012
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