Individual
NAOMI N FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2384 E MAIN ST, STOCKTON, CA 95205-6552
(209) 370-3726
Mailing address
2384 E MAIN ST, STOCKTON, CA 95205-6552
(209) 370-3726
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
202358016727
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
202358016727
CA
Other
Enumeration date
07/12/2023
Last updated
05/26/2026
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