Fuentes, Derrainnya

Fuentes, Derrainnya is an individual health care provider with primary practice located at 19935 E Chandler Heights Rd , Queen Creek AZ 85142-9350. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Fuentes, Derrainnya can be contacted via phone (602) 670-2115.

Contact Information

Primary practice address
19935 E Chandler Heights Rd Queen Creek AZ 85142-9350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 4439413 Arizona

Profile Details

NPI number 1033658323
LBN Legal business name Fuentes, Derrainnya
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 8 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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