Most Relevant Information
Provider Data
| NPI Number: | 1003019282 |
| Provider Name: | RONALD D FILLMORE CRNFA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WR0006X |
| Specialty: | Registered Nurse |
| License Number: | 305990 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2776 PACIFIC AVE
PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH
CA
908062613
Practice Location Phone/Fax
| Phone: | 7605349550 |
| Fax: | 9518089700 |
Provider Mailing Location
PO BOX 6580
LONG BEACH
CA
908066580
Provider Mailing Phone/Fax
| Phone: | 7605349550 |
| Fax: | 9518089700 |