Individual provider · Type 1 NPI

Brittanie Fuentes

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1104307750 Active

Practice location

1000 N Alameda St Ste 390
Los Angeles, CA 90012-1804

Call (213) 542-3844 Map

Mailing address

1523 S Gold Canyon Dr
Diamond Bar, CA 91789-3753

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104307750

Brittanie Fuentes's National Provider Identifier is 1104307750, issued on Aug 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2018.