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Individual

FELMA FUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
626 MAIN STREET, BAKERSFIELD, CA 93215-2934
(661) 721-8800
(661) 721-8810
Mailing address
45104 10TH ST W, LANCASTER, CA 93534-2310
(661) 942-2391

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
C42076
CA
170100000X
Ph.D. Medical Genetics
CA
208000000X
Pediatrics Physician
Primary
42076
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
770468890
CA
05
C42076
CA
05
GR0083054
CA
Enumeration date
05/04/2007
Last updated
10/30/2019
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