person
Ms. Carol Sue Fuentes, MSPA-C
Medical Physician Assistant in San Luis Obispo, California
NPI 1619918570

Carol Sue Fuentes is a Medical Physician Assistant based in San Luis Obispo, CA and is specialized in Medical. Carol Sue Fuentes practices in San Luis Obispo, CA and has the professional credentials of MSPA-C. The NPI Number for Carol Sue Fuentes is 1619918570 and holds a License No. PA15472 (California).

The current practice location address for Carol Sue Fuentes is 1288 Morro St, San Luis Obispo, CA and can be reached out via phone at 805-543-1233.

Location: 1288 Morro St, San Luis Obispo, CA, 93401-6302
person
Provider Profile Details
NPI Number
1619918570
Provider Name
Carol Sue Fuentes
Credential
MSPA-C
Provider Entity Type
Individual
Gender
Female
Address
1288 Morro St, San Luis Obispo, CA, 93401-6302
Phone Number
805-543-1233
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1288 Morro St
City
State
Zip
93401-6301
Phone Number
805-543-1233
Fax Number
person
Provider Business Mailing Address Details
Address
1288 Morro St
City
State
Zip
93401-6301
Phone Number
805-543-1233
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15472 (California)
Definition
Definition to come...
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