ALISSA KAY FUENTES

LAKE WORTH, FL
NPI1306447420
Former NameALISSA KAY BRODERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9112799)
Enumeration Date2020-11-04
Last Update Date2022-08-22
Business Address
ALISSA KAY FUENTES PA-C
6169 S JOG RD STE B3
LAKE WORTH, FL 33467-6514
Phone number: 561-433-9191
Mailing Address
ALISSA KAY FUENTES PA-C
8317 BERMUDA SOUND WAY
BOYNTON BEACH, FL 33436-1729
Phone number: 786-589-2361
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