Individual
MR. FIDENCIO CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
501 5TH STREET, GONZALES, CA 93926
(559) 351-5927
Mailing address
PO BOX 446, GONZALES, CA 93926-0446
(559) 351-5927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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