Individual
MARLEN VANESSA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 ALCAZAR AVE, SUITE 303-C, CORAL GABLES, FL 33134-4318
(786) 558-7151
Mailing address
1155 BRICKELL BAY DR, APT 603, MIAMI, FL 33131-2983
(786) 486-2030
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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