JACQUELINE ANN FUENTES

WINSTON SALEM, NC
NPI1174068407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC  2075)
Enumeration Date2016-12-22
Last Update Date2016-12-22
Business Address
MRS. JACQUELINE ANN FUENTES LAT,ATC
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1562
Phone number: 336-765-5664
Mailing Address
MRS. JACQUELINE ANN FUENTES LAT,ATC
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1562
Phone number: 336-765-5664
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