Individual
MR. ALBERT THOMAS PUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 BANYAN CT, CERES, CA 95307-1907
(209) 531-2088
Mailing address
2935 4TH ST, CERES, CA 95307-3222
(209) 531-2088
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
04/16/2025
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