Lisette Fuentes

NPI 1417324690 · on the registry since 2015 · sole proprietor

Practice

Address: 22331 Mission Blvd
Hayward, CA 94541
Phone: (510) 471-5907
Fax: (510) 690-0703
Organisation at this address: Tibucio Vasquez Health Center, Inc.
Tiburcio Vasquez Health Center, Inc.
Tiburcio Vasquez Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California