Individual
MS. MIRTA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
1237 W DIVIDE AVE, BISMARCK, ND 58501-1220
(701) 328-8888
Mailing address
1237 W DIVIDE AVE, BISMARCK, ND 58501-1220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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