Search › California › 163WN1003X
Jodie Fasullo, RN
NPI 1154885655 · on the registry since 2019 · sole proprietor
Practice
- Address
- 37 Optima
San Clemente, CA 92672 - Phone
- (949) 813-3026
Additional practice sites
- 22600 Lambert St Ste 802b, Lake Forest, CA
Registry record
- Primary taxonomy
- 163WN1003X
163WN1003X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California