CYNTHIA FUENTES LSA, LLC
Surgical Assistants and Surgical Technologists at Heritage Pl, Dallas, TX

License number
Texas SA00072
Category
Technologists
Type
Surgical Technologist
Owner
Name: CYNTHIA FUENTES LSA
Title: LICENSED SURGICAL ASSISTANT
Phone: (469) 231-5309
Address
Address 2
10015 Heritage Pl, Dallas, TX 75217
PO Box 156, Waxahachie, TX 75168
National Provider ID: 1487905659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CYNTHIA FUENTES LSA - LLC

10015 Heritage Pl, Dallas, TX 75217

Industry:
Business Services at Non-Commercial Site
Doing business as:
Cynthia Fuentes Lsa - LLC
Registration:
Jul 17, 2008
State ID:
0801005265
Business type:
Domestic Limited Liability Company (LLC)
Members:
Cynthia Fuentes (MEMBER, Member, Managing Member), 10015 Heritage Pl, Dallas, TX 75217,John G Fuentes Jr (MEMBER), 404 Lakedale, Plano, TX 75094,John G. Fuentes (Member)
TIN:
32037534669

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