RONAN BASILLOTE PATONONA

PARAMOUNT, CA
NPI1407496433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95013633)
Enumeration Date2020-01-07
Last Update Date2023-09-26
Business Address
RONAN BASILLOTE PATONONA NP-C
16660 PARAMOUNT BLVD STE 306
PARAMOUNT, CA 90723-5459
Phone number: 562-303-6862
Mailing Address
RONAN BASILLOTE PATONONA NP-C
3187 E MT RAINIER DR
ONTARIO, CA 91762-7272
Phone number: 562-303-6862
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