Most Relevant Information
Provider Data
| NPI Number: | 1003378043 |
| Provider Name: | ILDEFONSO SILVA RODRIGUEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 666430 |
Most Important Dates
| Enumeration Date: | 04/01/2019 |
| Last Updated: | 04/01/2019 |
Provider Practice Location
2437 WOODCREEK RD
CAMARILLO
CA
930122537
Practice Location Phone/Fax
| Phone: | 8053120362 |
| Fax: |
Provider Mailing Location
2437 WOODCREEK RD
CAMARILLO
CA
930122537
Provider Mailing Phone/Fax
| Phone: | 8053120362 |
| Fax: |