Individual
FIDELINA ESTHER FUENTES HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
23600 TELO AVE STE 130, TORRANCE, CA 90505-4036
(108) 331-3343
Mailing address
23600 TELO AVE STE 130, TORRANCE, CA 90505-4036
(310) 833-1334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026119
CA
Other
Enumeration date
06/10/2024
Last updated
03/06/2025
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