Elsy Cecilia Fuentes

NPI #1649661547 in Forest Park, Illinois

Provider Information

NPI Number: 1649661547
Entity Type: Individual
Name: Elsy Cecilia Fuentes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 118 DES PLAINES AVE
City: Forest Park
State: Illinois
ZIP Code: 60130-1004
Phone: (708) 288-1807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Homemaker	376J00000X	Primary

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