Individual
MR. DEEMAR JAS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
2015 PERKINS AVE, MISSION, TX 78572-2827
(956) 330-2191
Mailing address
2015 PERKINS AVE, MISSION, TX 78572-2827
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1231035490
TX
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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