Glen Lopez Fajardo, RN
Registered Nurse in American Canyon, CA. Individual provider (NPI-1).
NPI number1386010239
StatusActive
Last updated in NPPESAug 14, 2015
Details
- NPI
- 1386010239
- Entity type
- Individual (NPI-1)
- Name
- Mr. Glen Lopez Fajardo
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2015
- Last updated
- Aug 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | CA-RN 706582 | CA | Yes |
| 163W00000X | Registered Nurse | PHN 79745 | CA |
Practice location
335 Summerwood DrAmerican Canyon, CA 94503-3184
Phone 707-656-3252
Mailing address
335 Summerwood DrAmerican Canyon, CA 94503-3184
Phone 707-656-3252
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Other Registered Nurse providers in American Canyon, CA
- Melissa Ann Dingler, R.N.NPI 1144693664
- Jennifer Ruezo Fajardo, RNNPI 1053199067
- Junell Ruezo Fajardo, RNNPI 1770339616
- Abraham Chua Ng, RNNPI 1902657091
- Joanne Fajardo Ng, RNNPI 1205687381
All 6 Registered Nurse providers in American Canyon · All 234 providers in American Canyon
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