person
Tracy-jane Luyun Fajota, AGACNP-BC
Acute Care Nurse Practitioner in Glendale, California
NPI 1700660560

Tracy-jane Luyun Fajota is an Acute Care Nurse Practitioner based in Northridge, CA and is specialized in Acute Care. Tracy-jane Luyun Fajota practices in Glendale, CA and has the professional credentials of AGACNP-BC. The NPI Number for Tracy-jane Luyun Fajota is 1700660560 and holds a License No. 95025937 (California).

The current practice location address for Tracy-jane Luyun Fajota is 1420 S Central Ave, Glendale, CA and can be reached out via phone at 818-502-1900. You can also correspond with Tracy-jane Luyun Fajota through the mailing address at 8510 BALBOA BLVD STE 150, NORTHRIDGE, CA - 91325-5810 (mailing address contact number: 818-636-0501).

Location: 1420 S Central Ave, Glendale, CA, 91325-5810
person
Provider Profile Details
NPI Number
1700660560
Provider Name
Tracy-jane Luyun Fajota
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1420 S Central Ave, Glendale, CA, 91325-5810
Phone Number
818-502-1900
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1420 S Central Ave
City
State
Zip
91204-2508
Phone Number
818-502-1900
Fax Number
person
Provider Business Mailing Address Details
Address
8510 Balboa Blvd Ste 150
City
State
Zip
91325-5810
Phone Number
818-636-0501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
95025937 (California)
Definition
Definition to come...
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