JAESON M FETALVERO NPI 1356953848

NPI Information

Jaeson M Fetalvero is a licensed practical nurse in Canoga Park, CA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jaeson M Fetalvero NPI is 1356953848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7246 REMMET AVE
CANOGA PARK, CA
ZIP 91303-531
Phone: (818) 206-0630

The enumeration date for this NPI number is 8/18/2020 and was last updated on 5/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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