ROGER FUENTES

LODI, CA
NPI1619764644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2025-04-23
Last Update Date2025-06-17
Business Address
ROGER FUENTES
408 E PINE ST
LODI, CA 95240-2923
Phone number: 209-369-1398
Mailing Address
ROGER FUENTES
1824 ST MAYEUL DR
MODESTO, CA 95356-8402
Phone number: 352-573-1936
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