Individual
LUIS H FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4609
(575) 437-7404
Mailing address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4609
(575) 437-7404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497462592
—
NM
Enumeration date
11/15/2022
Last updated
11/22/2022
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