Individual
JORDAN YVETTE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N 8TH ST STE B, CARLSBAD, NM 88220-3217
(575) 736-8520
Mailing address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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