Individual
MANNY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEP
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7349
(337) 289-7328
Mailing address
PO BOX 51553, LAFAYETTE, LA 70505-1553
(337) 344-5502
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
CEP.CE0016
LA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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