Individual
MS. TRISHA JANE PANIAGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9310 SIERRA AVE, FONTANA, CA 92335-5711
(866) 205-3595
Mailing address
2058 N MILLS AVE # 302, CLAREMONT, CA 91711-2812
(909) 319-9371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025222
CA
Other
Enumeration date
05/16/2023
Last updated
12/30/2024
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