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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN LOPEZ FAJARDO, RN

Active

MR. GLEN LOPEZ FAJARDO, RN is a Registered Nurse healthcare provider located in AMERICAN CANYON, California. NPI 1386010239 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · AMERICAN CANYON, CA

Registration Details

NPI Number
1386010239
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2015 (10.818780720679 yrs)
Last Updated
Aug 14, 2015
Licenses
CA-RN 706582 (CA)
PHN 79745 (CA)

Practice Information

Address
335 SUMMERWOOD DR
AMERICAN CANYON, CA, 945033184
Browse CA providers · Browse ZIP 94503
Phone
7076563252
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in AMERICAN CANYON, CA

Name Credential NPI
MS. MELISSA ANN DINGLER R.N. 1144693664
VICKY OLIVA 1629772736
JENNIFER RUEZO FAJARDO RN 1053199067
JOANNE FAJARDO NG RN 1205687381
ABRAHAM CHUA NG JR. RN 1902657091
JUNELL RUEZO FAJARDO RN 1770339616
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.