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:
Health care specialties
| Specialty | Code | License # | 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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