Jose Rafael Fuentes JR.

NPI #1003643230 in San Mateo, California

Provider Information

NPI Number
1003643230
Entity Type
Individual
Name
Jose Rafael Fuentes JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 19, 2024
Last Updated
Sep 19, 2024

Practice Location

Address
400 CONCAR DR STE 4-134
ZIP Code
94402-2681
Phone
(650) 931-6300

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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