Ildefonso Silva Rodriguez, RN
Registered Nurse, Psych/Mental Health, Adult in Camarillo, CA. Individual provider (NPI-1).
NPI number1003378043
StatusActive
Last updated in NPPESApr 1, 2019
Details
- NPI
- 1003378043
- Entity type
- Individual (NPI-1)
- Name
- Ildefonso Silva Rodriguez
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2019
- Last updated
- Apr 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 666430 | CA | Yes |
Practice location
2437 Woodcreek RdCamarillo, CA 93012-2537
Phone 805-312-0362
Mailing address
2437 Woodcreek RdCamarillo, CA 93012-2537
Phone 805-312-0362
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