| NPI | 1053637918 |
|---|---|
| Other Name | JANICE RAQUEL FUENTES DELGADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A118821) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2021-12-27 |