Individual provider · Type 1 NPI

Carol Sue Fuentes, MS PA-C

Medical Physician Assistant · San Luis Obispo, CA

NPI number 1619918570 Active

Practice location

1288 Morro St
San Luis Obispo, CA 93401-6301

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA15472 (CA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1619918570

Carol Sue Fuentes, MS PA-C's National Provider Identifier is 1619918570, issued on Jun 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.