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Samara Fuentes
NPI 1700557386 · on the registry since 2021 · sole proprietor
Practice
- Address
- 915 S Clinton St
Fort Wayne, IN 46802 - Phone
- (260) 422-5625
- Fax
- (260) 420-7382
- Organisation at this address
- Catholic Charities Of The Diocese Of Fort Wayne-South Bend
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2021-09-23
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 Indiana