Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAESON M FETALVERO
Active Sole ProprietorJAESON M FETALVERO is a Licensed Practical Nurse healthcare provider located in CANOGA PARK, California. NPI 1356953848 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · CANOGA PARK, CA
Registration Details
- NPI Number
- 1356953848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2020 (6.0158907659212 yrs)
- Last Updated
- May 21, 2021
- License
-
218256 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7246 REMMET AVECANOGA PARK, CA, 913031531Browse CA providers · Browse ZIP 91303
- Phone
- 8182060630
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.