Individual
GUY BIAKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17053 FOOTHILL BLVD, FONTANA, CA 92335-3574
(909) 347-1300
Mailing address
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335-3574
(909) 347-1300
(909) 347-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95058452
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022515
CA
Other
Enumeration date
06/14/2021
Last updated
09/29/2023
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