JACK FUENTES

NEW CITY, NY
NPI1689556664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2025-07-22
Last Update Date2025-07-22
Business Address
JACK FUENTES
12 LOCHNESS LN PH
NEW CITY, NY 10956-1515
Phone number: 917-645-8998
Mailing Address
JACK FUENTES
12 LOCHNESS LN PH
NEW CITY, NY 10956-1515
Phone number: 917-645-8998