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Luis M Fuertes, LPN

Licensed Practical Nurse in Manhattan, KS. Individual provider (NPI-1).

NPI number1710267166
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1710267166
Entity type
Individual (NPI-1)
Name
Luis M Fuertes
Credential
LPN
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse24-21129-101KSYes

Practice location

1105 Sunset Ave
Manhattan, KS 66502-3739

Phone 785-532-7755

Mailing address

1105 Sunset Ave
Manhattan, KS 66502-3739

Phone 785-532-7755

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