| Jodie Fasullo, RN | |
|
37 Optima, San Clemente, CA 92672-9407 | |
| (949) 813-3026 | |
| Not Available |
| Full Name | Jodie Fasullo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Nutrition Support |
| Location | 37 Optima, San Clemente, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154885655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WN1003X | Registered Nurse - Nutrition Support | 718632 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jodie Fasullo, RN 37 Optima, San Clemente, CA 92672-9407 Ph: (949) 813-3026 | Jodie Fasullo, RN 37 Optima, San Clemente, CA 92672-9407 Ph: (949) 813-3026 |
Mrs. Tera Lynn Bodo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 50 Via Sonrisa, San Clemente, CA 92673 Phone: 949-366-0753 Fax: 949-366-0753 | |
Ashley Kirkland, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7100 Tierras Altas, San Clemente, CA 92673 Phone: 818-652-6587 | |
Mr. Darush Behzad Samia, R.N.F.A. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 39 Via Adrian, San Clemente, CA 92673 Phone: 949-492-3646 | |
Renee Sue Pozza, PHD, RN, FNP-BC, CNS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares, Suite 210, San Clemente, CA 92673 Phone: 949-496-6002 Fax: 949-496-6004 | |
Mrs. Dena Marie De La Torre, CNM, WHCNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673 Phone: 949-661-3101 | |
Maria Coy, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5918 Camino Rocoso, San Clemente, CA 92673 Phone: 949-350-8222 |