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Contact Information

EARYL JENN M REYES FAJARDO, RN
PSC 482 BOX 1600
FPO, AP96362-0017
 Phone: 315-646-1975
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for EARYL JENN M REYES FAJARDO · (Female)

NPI # 1578386926
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/04/2024
Last updated 11/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95193325
  • TX License # 1028435
  • TX License # 2023103550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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