Individual
MONIQUE LA FUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCULARIST
Contact information
Practice address
229 NW 9TH ST # 102, OKLAHOMA CITY, OK 73102-2619
(405) 774-0118
Mailing address
3215 SE PINTO ST, PORT SAINT LUCIE, FL 34984-6506
(405) 774-0118
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
02/10/2025
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