Individual
DR. JULIO C FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Mailing address
3350 VALLEY RD, BONITA, CA 91902-4171
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT36676
CA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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