Search › California › 225700000X
Jacquelyn Fanno, CMT
NPI 1811646433 · on the registry since 2022 · sole proprietor
Practice
- Address
- 18630 Burbank Blvd Apt 209
Tarzana, CA 91356 - Phone
- (818) 514-5728
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-21
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