Whalio Doctors

NPI 1033658323

Derrainnya Fuentes, PHD

Practitioner Prevention Professional Queen Creek, AZ

Practice location

Address
19935 E Chandler Heights Rd, Queen Creek, AZ 85142-9350
Phone
(602) 670-2115
Mailing address
19935 E Chandler Heights Road, Queen Creek, AZ 85142

Registered specialties

Prevention Professional Primary
Other Service Providers Taxonomy 405300000X Licence 4439413 (AZ)

Registry record

NPI
1033658323
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Feb 2017
Record last updated
20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.