Fajardo, Glen Lopez

Fajardo, Glen Lopez is an individual health care provider with primary practice located at 335 Summerwood Dr , American Canyon CA 94503-3184. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Fajardo, Glen Lopez can be contacted via phone (707) 656-3252.

Contact Information

Primary practice address
335 Summerwood Dr American Canyon CA 94503-3184
Phone: (707) 656-3252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X CA-RN 706582 California
Nursing Service Providers / Registered Nurse 163W00000X PHN 79745 California

Profile Details

NPI number 1386010239
LBN Legal business name Fajardo, Glen Lopez
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated Aug 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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