Fuentes, Jacqueline Ann
Fuentes, Jacqueline Ann is an individual health care provider with primary practice located at 120 Charlois Blvd , Winston Salem NC 27103-1562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Fuentes, Jacqueline Ann can be contacted via phone (336) 765-5664.Contact Information
Primary practice address
120 Charlois Blvd
Winston Salem NC 27103-1562
Phone: (336) 765-5664
Fax: (336) 768-6713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2075 | North Carolina |
Profile Details
| NPI number | 1174068407 |
|---|---|
| LBN Legal business name | Fuentes, Jacqueline Ann |
| Credentials | LAT,ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2016 |
| Last updated | Dec 22nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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