Individual
DR. STEPFANY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 CONGRESS ST, PORTLAND, ME 04102-2143
(207) 774-5222
Mailing address
1600 CONGRESS ST, PORTLAND, ME 04102-2143
(207) 774-5222
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DO3525
ME
Other
Enumeration date
06/29/2017
Last updated
07/24/2023
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