Individual
CINDY JESSICA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15425 SHERMAN WAY APT 319, VAN NUYS, CA 91406-4228
(818) 421-4401
Mailing address
15425 SHERMAN WAY APT 319, VAN NUYS, CA 91406-4228
(818) 421-4401
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/05/2011
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