JORDAN FASANO

TEMECULA, CA
NPI1457646655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  257921)
Enumeration Date2011-06-15
Last Update Date2011-06-15
Business Address
Mr. JORDAN FASANO LVN
31269 MANGROVE DR.
TEMECULA, CA 92592
Phone number: 858-337-4122
Mailing Address
Mr. JORDAN FASANO LVN
31269 MANGROVE DR
TEMECULA, CA 92592
Phone number: 858-337-4122
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