Individual
MR. RICHARD M FUENTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
Mailing address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 840-1954
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
02/14/2025
Last updated
06/03/2025
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