Individual
DESIREE ALEXIS FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 679-0120
Mailing address
426 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 679-0210
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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