Individual
BRENDA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
339 PAJARO ST STE B, SALINAS, CA 93901-3400
(831) 676-3715
Mailing address
339 PAJARO ST STE B, SALINAS, CA 93901-3400
(831) 676-3715
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
699816
CA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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