Search › North Carolina › 222Q00000X
Ivis Fuentes, ITFS
NPI 1780027300 · on the registry since 2013
Practice
- Address
- 123 Harris Rd
Smithfield, NC 27577 - Phone
- (919) 437-2156
- Organisation at this address
- Genesis Developmental Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2013-04-12
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 North Carolina