CAROL SUE FUENTES

SAN LUIS OBISPO, CA
NPI1619918570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  pa15472)
Enumeration Date2006-06-09
Last Update Date2007-07-08
Business Address
Ms. CAROL SUE FUENTES MS PA-C
1288 MORRO ST
SAN LUIS OBISPO, CA 93401-6301
Phone number: 805-543-1233
Mailing Address
Ms. CAROL SUE FUENTES MS PA-C
1288 MORRO ST
SAN LUIS OBISPO, CA 93401-6302
Phone number: 805-543-1233
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