MS. Carol Sue Fuentes, MSPA-C
MS. Carol Sue Fuentes, MSPA-C is a Medical Physician Assistant in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1288 Morro StSan Luis Obispo, CA 93401-6301
Phone: (805) 543-1233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA15472 (CA) |
|---|
Record details
| NPI number | 1619918570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSPA-C |
| Sole proprietor | No |
| NPI enumerated | June 9, 2006 |
| Last updated in NPPES | July 8, 2007 |
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-
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