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1629787569
VIVIANA ANDREA FUENTES
COMMERCE, CA
NPI
1629787569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
VIVIANA ANDREA FUENTES RN
2040 CAMFIELD AVE
COMMERCE, CA 90040-1502
Phone number: 323-558-7677
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Mailing Address
VIVIANA ANDREA FUENTES RN
5425 POMONA BLVD
LOS ANGELES, CA 90022-1716
Phone number: 323-728-0411
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