Individual
MR. RAY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2416 DORA AVE NW, ALBUQUERQUE, NM 87104-1511
(505) 459-8641
Mailing address
2028 ROBERTSON RD SW, ALBUQUERQUE, NM 87105-4072
(505) 459-8641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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