Individual
MR. EDUARDO DY RONQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, PTA
Contact information
Practice address
1901 W LUGONIA AVE, SUITE 120, REDLANDS, CA 92374-9703
(909) 557-1600
(909) 557-1732
Mailing address
1901 W LUGONIA AVE, SUITE 120, REDLANDS, CA 92374-9703
(909) 557-1600
(909) 557-1732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
AT 6459
CA
363AS0400X
Surgical Physician Assistant
Primary
52160
CA
Other
Enumeration date
02/02/2007
Last updated
12/27/2021
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