Individual
DEANNA ROSA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 360-3686
Mailing address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 360-3686
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CAJGQH
CA
Other
Enumeration date
12/18/2025
Last updated
12/19/2025
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