Individual
LIZZY CORAL FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
163 STATE AVE, ROGERS, CT 06263
(401) 500-0880
Mailing address
PO BOX 65, ROGERS, CT 06263-0065
(401) 500-0880
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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