Individual
ASHLEY RINA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
6280 JACKSON DR, SAN DIEGO, CA 92119-3434
(619) 464-1607
Mailing address
2575 ELYSSEE ST, SAN DIEGO, CA 92123-3438
(808) 542-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009172
CA
Other
Enumeration date
05/31/2018
Last updated
07/03/2023
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