Individual
GLORIA PATRICIA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16600 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3419
(360) 260-3333
(360) 260-3327
Mailing address
800 NE TENNEY RD, VANCOUVER, WA 98685-2831
(360) 571-2573
(360) 571-2567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60492551
WA
183500000X
Pharmacist
PS46672
FL
183500000X
Pharmacist
RPH0014256
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0014256
OR
Other
Enumeration date
03/15/2016
Last updated
04/25/2017
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