Individual
MS. KSHENA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 CANAL CIR, LUMBERTON, NJ 08048-3108
(856) 905-8008
Mailing address
210 CANAL CIR, LUMBERTON, NJ 08048-3108
(856) 905-8008
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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