Individual
JANICE RAQUEL FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24671 MONROE AVE # C102, MURRIETA, CA 92562-9589
(951) 797-4446
(833) 989-2495
Mailing address
24671 MONROE AVE # C102, MURRIETA, CA 92562-9589
(619) 306-1127
(833) 989-2495
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A118821
CA
Other
Enumeration date
04/15/2010
Last updated
12/27/2021
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