Individual
ABIGAIL FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 CAMERON DRIGGERS DR, RUSKIN, FL 33570-5217
(813) 895-7393
Mailing address
1520 9TH ST SE, RUSKIN, FL 33570-6040
(813) 895-7393
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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