Individual
MARIELA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8415 SW 24TH ST STE 205, MIAMI, FL 33155-2305
(305) 262-6868
Mailing address
13768 SW 157 ST, MIAMI, FL 33177
(305) 300-8705
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2424
FL
Other
Enumeration date
08/03/2017
Last updated
06/16/2018
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