Individual
ILDEFONSO SILVA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2437 WOODCREEK RD, CAMARILLO, CA 93012-2537
(805) 312-0362
Mailing address
2437 WOODCREEK RD, CAMARILLO, CA 93012-2537
(805) 312-0362
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
666430
CA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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