Search › California › 164X00000X
Jordan Fasano, LVN
NPI 1457646655 · on the registry since 2011 · sole proprietor
Practice
- Address
- 31269 Mangrove Dr.
Temecula, CA 92592 - Phone
- (858) 337-4122
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-15
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