Individual
JANIS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 S AMHERST AVE, ONTARIO, CA 91761-4124
(951) 204-3155
Mailing address
4508 S AMHERST AVE, ONTARIO, CA 91761-4124
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95011059
CA
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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