MICAELA ISABEL FUENTEZ

STOCKTON, CA
NPI1083228423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
106S00000X Behavior Technician
(Licence: CA  Y2411397)
171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-02
Last Update Date2025-01-27
Business Address
MICAELA ISABEL FUENTEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
Mailing Address
MICAELA ISABEL FUENTEZ
1940 BASIL DR
MANTECA, CA 95336-8538
Phone number: 408-916-6179