Individual
JANETH SHANE MAGUYON ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5156 ST ALBERT DR, FONTANA, CA 92336-0635
(310) 872-4457
Mailing address
5156 ST ALBERT DR, FONTANA, CA 92336-0635
(310) 872-4457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95037533
CA
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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