Individual
GENA RENAY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15229 CRAZY HORSE AVE, FONTANA, CA 92336-5321
(909) 559-0274
Mailing address
15229 CRAZY HORSE AVE, FONTANA, CA 92336-5321
(909) 559-0274
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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