Most Relevant Information
Provider Data
| NPI Number: | 1003312240 |
| Provider Name: | VERONICA FUENTES |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2018 |
| Last Updated: | 06/21/2018 |
Provider Practice Location
4760 SEPULVEDA BLVD
CULVER CITY
CA
90230
Practice Location Phone/Fax
| Phone: | 3103906612 |
| Fax: | 3103985690 |
Provider Mailing Location
4760 SEPULVEDA BLVD
CULVER CITY
CA
902304820
Provider Mailing Phone/Fax
| Phone: | 3103906612 |
| Fax: | 3103985690 |