Individual
MRS. SUZANNA LOUISE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
SE 1061 HWY 3, SHELTON, WA 98584
(360) 427-7461
(360) 427-7680
Mailing address
SE 1061 HWY 3, SHELTON, WA 98584
(360) 427-7461
(360) 427-7680
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA23471
WA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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