Individual
DEBORAH FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1935 MARASCO LN, NORTH PORT, FL 34286-7647
(941) 264-6084
(570) 227-2306
Mailing address
1935 MARASCO LN, NORTH PORT, FL 34286-7647
(941) 264-6084
(570) 227-2306
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW328
FL
Other
Enumeration date
07/29/2016
Last updated
08/17/2020
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