Individual
TERESA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 ALTA DR, LAS VEGAS, NV 89107-3940
(702) 204-1906
Mailing address
3152 SILVER SADDLE ST, LAS VEGAS, NV 89169-3226
(702) 204-1906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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