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Byron Fuentes

NPI 1386941847 · on the registry since 2011 · sole proprietor

Practice

Address
13075 Montford St
Pacoima, CA 91331
Phone
(818) 554-3727

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California