Juanita Fuentes, PA-C

NPI #1336518398 in Utica, New York

Provider Information

NPI Number
1336518398
Entity Type
Individual
Name
Juanita Fuentes, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 21, 2015
Last Updated
Sep 21, 2015

Practice Location

Address
1656 CHAMPLIN AVE
City
Utica
ZIP Code
13502-4830
Phone
(315) 624-6000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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