Fasullo, Jodie

Fasullo, Jodie is an sole proprietor health care provider with primary practice located at 37 Optima , San Clemente CA 92672-9407. She recently has only one registered license in Nursing Service Providers / Nutrition Support, which is considered as her primary health care specialty. Fasullo, Jodie can be contacted via phone (949) 813-3026.

Contact Information

Primary practice address
37 Optima San Clemente CA 92672-9407
Phone: (949) 813-3026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nutrition Support 163WN1003X 718632 California

Profile Details

NPI number 1154885655
LBN Legal business name Fasullo, Jodie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 5 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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