Individual
JONATHAN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4636 WHISPERING WIND AVE, TAMPA, FL 33614-4911
(813) 381-2435
Mailing address
4636 WHISPERING WIND AVE, TAMPA, FL 33614-4911
(813) 381-2435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77922
FL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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