Individual
ALISSA KAY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6169 S JOG RD STE B3, LAKE WORTH, FL 33467-6514
(561) 433-9191
Mailing address
8317 BERMUDA SOUND WAY, BOYNTON BEACH, FL 33436-1729
(786) 589-2361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112799
FL
Other
Enumeration date
11/04/2020
Last updated
08/22/2022
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