Individual
DAISY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 N UNIVERSITY DR, PLANTATION, FL 33322-4106
(954) 473-8070
Mailing address
1802 N UNIVERSITY DR, PLANTATION, FL 33322-4106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS64495
FL
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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