MR. JORDAN FASANO, LVN

Licensed Vocational Nurse

Active Individual
NPI: 1457646655

Practice Address

31269 MANGROVE DR.
Temecula, CA 92592

Phone: (858) 337-4122

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 257921 (CA)

Frequently Asked Questions

NPI 1457646655 is the National Provider Identifier for MR. JORDAN FASANO, LVN, a Licensed Vocational Nurse provider located in Temecula, CA. This NPI was enumerated on June 15, 2011.
MR. JORDAN FASANO, LVN practices at 31269 MANGROVE DR., Temecula, CA 92592.

Quick Facts

NPI
1457646655
Type
Individual
Enumerated
Jun 15, 2011
Last Updated
Jun 15, 2011

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