Roger Fuentes
Roger Fuentes is a Rehabilitation Practitioner in Lodi, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
408 E Pine StLodi, CA 95240-2923
Phone: (209) 369-1398
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1619764644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 23, 2025 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 1824 St Mayeul Dr, Modesto, CA 95356-8402 |
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