Individual
MRS. BEATRIZ FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 S COLORADO ST, CHANDLER, AZ 85225-6311
(480) 274-1613
(602) 276-1984
Mailing address
409 S COLORADO ST, CHANDLER, AZ 85225-6311
(480) 274-1613
(602) 276-1984
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
520668
AZ
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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