Individual
DEANNA MARIE WINTHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4483
Mailing address
15632 CARAVELLE AVE, FONTANA, CA 92336-4139
(909) 560-3074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006460
CA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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