Individual
AMPARO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17695 ARROW BLVD, FONTANA, CA 92335-4041
(909) 854-3790
Mailing address
17695 ARROW BLVD, FONTANA, CA 92335-4041
(909) 854-3790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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