| NPI | 1568053866 |
|---|---|
| Professional Name | STEVEN RAY FUENTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 9495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 69313) |
| 183500000X Pharmacist (Licence: CA 77383) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-09-12 |