Individual
SHAYNA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 371-7999
Mailing address
9108 KINGSBURY PL, BRADENTON, FL 34212-6316
(817) 690-2306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
09/11/2025
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