Individual
STEVEN RAY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD,RPH
Contact information
Practice address
3011 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Mailing address
3011 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
69313
TX
183500000X
Pharmacist
77383
CA
183500000X
Pharmacist
Primary
9495
NM
Other
Enumeration date
01/29/2021
Last updated
09/12/2022
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