DIANA FUENTES

MASON, MI
NPI1790317030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
DIANA FUENTES
585 JEWETT RD
MASON, MI 48854-8729
Phone number: 517-676-5405
Mailing Address
DIANA FUENTES
PO BOX 289
MASON, MI 48854-0289
Phone number: 517-676-5405