Individual
MS. CYNTHIA FUENTES
Active
Individual
MS. CYNTHIA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA, CFA, CST
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
SA00072
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83819
NCST FIRST ASST
TX
01
—
89N932
BLUE CROSS BLUE SHEILD
TX
Enumeration date
06/15/2006
Last updated
10/21/2017
Update your record
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