Individual
ANTHONY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4691 N 100 E, ENOCH, UT 84721-7483
(435) 531-6198
Mailing address
4691 N 100 E, ENOCH, UT 84721-7483
(435) 531-6198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
03/25/2024
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