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Individual

ADRIANA FUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, PHN

Contact information

Practice address
14180 BEACH BLVD, WESTMINSTER, CA 92683-4452
(714) 896-7800
(714) 896-7808
Mailing address
15317 GEORGIA AVE., PARAMOUNT, CA 90723
(562) 630-4584

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68774
CA
163WC1500X
Community Health Registered Nurse
Primary
68774
CA

Other

Enumeration date
01/25/2008
Last updated
01/25/2008
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