Organization
LORENA FUENTES NP, PSYCHIATRIC NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA FUENTES (NP / OWNER)
(626) 963-4467
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
Mailing address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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