Individual
STEPHANIE FUENTES OREJEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5363 S TIERRA BONITA BLVD, YUMA, AZ 85365-7779
(928) 975-2480
Mailing address
373 S 6TH AVE, YUMA, AZ 85364-2134
(928) 975-2480
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
SERV-044144-07-2024
AZ
Other
Enumeration date
08/30/2024
Last updated
09/01/2024
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