MR. Glen Lopez Fajardo, RN
NPI #1386010239 in American Canyon, California
Provider Information
- NPI Number
- 1386010239
- Entity Type
- Individual
- Name
- MR. Glen Lopez Fajardo, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Aug 14, 2015
- Last Updated
- Aug 14, 2015
Practice Location
- Address
- 335 SUMMERWOOD DR
- City
- American Canyon
- State
- California
- ZIP Code
- 94503-3184
- Phone
- (707) 656-3252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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