Ana Lisa De La Fuente

NPI 1104941756 - Counselor - 101YM0800X

NPI Details
NPI 1104941756
Gender Female
Enumeration Date 03/20/2007
Last Updated 03/13/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1107 REAM AVE
MOUNT SHASTA CA, 96067-9768, US
Phone (530) 926-1436
Fax
Business Location
1107 REAM AVE
MOUNT SHASTA CA, 96067-9768, US
Phone (530) 926-1436
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ana Lisa De La Fuente NPI is 1104941756, taxonomy code is 101YM0800X Ana Lisa De La Fuente physically located at 1107 Ream Ave, Mount Shasta CA, 96067-9768. NPI Number Ana Lisa De La Fuente has the Individual type.

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1104941756 NPI number is provided on an as is basis without warranty of any kind. 1104941756 is maintained by the National Plan & Provider Enumeration System. The contents of Ana Lisa De La Fuente are for informational purposes only.