Individual
MRS. MADELIN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 E 25TH STREET, HIALEAH, FL 33013
(305) 691-2000
Mailing address
131 W 31ST ST, HIALEAH, FL 33012-5418
(305) 890-8847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5201295
FL
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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