Individual
LAURA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659
Mailing address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497884969
—
VA
Enumeration date
05/18/2016
Last updated
05/18/2016
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