Individual
WENDY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45104 10TH ST W, LANCASTER, CA 93534-2310
(661) 942-2391
Mailing address
45104 10TH ST W, LANCASTER, CA 93534-2310
(661) 942-2391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95006492
CA
Other
Enumeration date
04/25/2017
Last updated
01/13/2023
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