Individual
JOSE L FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
24230 BARTON RD, LOMA LINDA, CA 92354-3232
(190) 979-6930
(909) 799-7320
Mailing address
24230 BARTON RD, LOMA LINDA, CA 92354-3232
(190) 979-6930
(909) 799-7320
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
CA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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