Clemente Fuentes, Roselyn Jan Wuthrich

Clemente Fuentes, Roselyn Jan Wuthrich is an individual health care provider with primary practice located at 24Th Sow/Stts Annex Building 301 Tully St, Hurlburt Field FL 32544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clemente Fuentes, Roselyn Jan Wuthrich can be contacted via phone (850) 884-3902.

Contact Information

Primary practice address
24Th Sow/Stts Annex Building 301 Tully St Hurlburt Field FL 32544
Phone: (850) 884-3902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26386 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME118266 Florida

Profile Details

NPI number 1699093781
LBN Legal business name Clemente Fuentes, Roselyn Jan Wuthrich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2010
Last updated Jun 20th, 2023 - about 2 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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