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Individual

CRYSTAL FUENTEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2801 SHADELANDS DR, WALNUT CREEK, CA 94598-2550
(925) 794-8151
Mailing address
2339 HILGARD AVE APT 203, BERKELEY, CA 94709-1340
(916) 420-8098

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23285
CA

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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