Individual
MRS. JENNY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
138 TREE FERN CT, CAMARILLO, CA 93010-2619
(805) 427-4824
Mailing address
138 TREE FERN CT, CAMARILLO, CA 93010-2619
(805) 427-4824
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695907
CA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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