Individual
KATHERIN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 16TH ST NW APT 407, WASHINGTON, DC 20010-1231
(202) 247-5239
Mailing address
3701 16TH ST NW APT 407, WASHINGTON, DC 20010-1231
(202) 247-5239
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8192105
STATE ID
CA
Enumeration date
04/23/2021
Last updated
04/23/2021
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