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Individual
JAZMIN DE ANDA- FUENTES
Active
Individual
JAZMIN DE ANDA- FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
08/15/2025
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