Individual
MRS. MARIANNA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(626) 714-8739
Mailing address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(626) 714-8739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026556
CA
Other
Enumeration date
10/16/2023
Last updated
05/15/2025
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