Provider Demographics
NPI:1033573035
Name:SAFLEY, JOELINA (LVN)
Entity Type:Individual
Prefix:
First Name:JOELINA
Middle Name:
Last Name:SAFLEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3078 N HORNET AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93737-9288
Mailing Address - Country:US
Mailing Address - Phone:559-451-5350
Mailing Address - Fax:
Practice Address - Street 1:3078 N HORNET AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93737-9288
Practice Address - Country:US
Practice Address - Phone:559-451-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA272752376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide