Individual
JESUS FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1604 SUNRISE AVE, MADERA, CA 93638-4926
(559) 675-7893
Mailing address
1604 SUNRISE AVE, MADERA, CA 93638-4926
(559) 871-7893
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
946000518
MEDI-CAL
CA
Enumeration date
09/19/2025
Last updated
10/24/2025
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