Jaeson M Fetalvero
Jaeson M Fetalvero is a Licensed Practical Nurse in Canoga Park, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
7246 Remmet AveCanoga Park, CA 91303-1531
Phone: (818) 206-0630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1235 McHenry Ave Ste A&B, Modesto, CA 95350-5370 — (209) 527-4597
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 218256 (CA) |
|---|
Record details
| NPI number | 1356953848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2020 |
| Last updated in NPPES | May 21, 2021 |
| Certification date | April 23, 2021 |