JAESON M FETALVERO

CANOGA PARK, CA
NPI1356953848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CA  218256)
Enumeration Date2020-08-18
Last Update Date2021-05-21
Business Address
JAESON M FETALVERO
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0630
Mailing Address
JAESON M FETALVERO
3834 COLMA AVE
MERCED, CA 95348-8719
Phone number: