Provider Demographics
NPI:1134292303
Name:RODRIGUEZ, ELEANOR MAY (LVN)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:MAY
Last Name:RODRIGUEZ
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 1:408 ECHO SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-1584
Mailing Address - Country:US
Mailing Address - Phone:707-557-4670
Mailing Address - Fax:
Practice Address - Street 1:3449 VALLE VERDE DR
Practice Address - Street 2:STE. C
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2414
Practice Address - Country:US
Practice Address - Phone:707-226-6668
Practice Address - Fax:707-226-6699
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN81913164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse