Individual
MR. ROBERT SPEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16712 RAMONA AVE, FONTANA, CA 92336-2009
(909) 559-4977
Mailing address
PO BOX 441, RANCHO CUCAMONGA, CA 91729-0441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95038136
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038136
CA
Other
Enumeration date
01/15/2026
Last updated
05/14/2026
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