Individual
LEA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
952 E DESERT CACTUS DR, WASHINGTON, UT 84780-3559
(805) 551-7829
Mailing address
952 E DESERT CACTUS DR, WASHINGTON, UT 84780-3559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12049689-3102
UT
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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