Individual
AUSTIN PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1069 BUTLER DR, EDWARDS, CA 93523-2622
(832) 465-8000
Mailing address
1069 BUTLER DR, EDWARDS, CA 93523-2622
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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