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1972088656
MARIA FUENTES
CULVER CITY, CA
NPI
1972088656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2018-09-28
Last Update Date
2023-09-07
Business Address
MARIA FUENTES
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
MARIA FUENTES
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number:
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