Healthcare Provider Details

I. General information

NPI: 1881849313
Provider Name (Legal Business Name): MARY JOY BINAS RODRIGUEZ R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 FRANKFORT CT
OXNARD CA
93033-5529
US

IV. Provider business mailing address

3430 FRANKFORT CT
OXNARD CA
93033-5529
US

V. Phone/Fax

Practice location:
  • Phone: 805-483-2127
  • Fax:
Mailing address:
  • Phone: 805-483-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR.N. 586725
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: