GEORGINA FUENTES VELASQUEZ

SAINT LOUIS, MO
NPI1285234799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2020026943)
Enumeration Date2020-10-26
Last Update Date2020-10-26
Business Address
GEORGINA FUENTES VELASQUEZ NP
12101 WOODCREST EXECUTIVE DR STE 102
SAINT LOUIS, MO 63141-5047
Phone number: 800-427-1902
Mailing Address
GEORGINA FUENTES VELASQUEZ NP
333 N SUMMIT ST FL 15
TOLEDO, OH 43604-2615
Phone number: 800-427-1902