Individual
MONICA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N CHURCH ST, POTTERVILLE, MI 48876-5123
(517) 667-4271
Mailing address
310 N CHURCH ST, POTTERVILLE, MI 48876-5123
(517) 667-4271
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111808
MI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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