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Tommy Ronquillo, RDN

Dietitian, Registered in Petaluma, CA. Individual provider (NPI-1).

NPI number1801316955
StatusActive
Last updated in NPPESJun 20, 2017

Details

NPI
1801316955
Entity type
Individual (NPI-1)
Name
Tommy Ronquillo
Credential
RDN
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2017
Last updated
Jun 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

244 Park Place Dr
Petaluma, CA 94954-6636

Phone 415-730-7571

Mailing address

244 Park Place Dr
Petaluma, CA 94954-6636

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