ALFRED FUENTES

GARDENA, CA
NPI1235409566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA 11705)
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
Mr. ALFRED FUENTES PA-C
14127 S VERMONT AVE
GARDENA, CA 90247-2205
Phone number: 310-532-1650
Mailing Address
Mr. ALFRED FUENTES PA-C
14127 S VERMONT AVE
GARDENA, CA 90247-2205
Phone number: 310-532-1650
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