Luis M Fuertes, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Manhattan, KS

NPI

1710267166

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

24-21129-101 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2011-08-17

Last updated

2011-08-17