Individual
ELIZABETH FUENTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(509) 965-7100
Mailing address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(509) 965-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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