Provider Demographics
NPI:1518651389
Name:MAGANA, SYLVIA MARIE (LVN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MARIE
Last Name:MAGANA
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 1:6311 LANDMARK RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95215-1845
Mailing Address - Country:US
Mailing Address - Phone:209-452-7006
Mailing Address - Fax:
Practice Address - Street 1:321 W TURNER RD
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-0517
Practice Address - Country:US
Practice Address - Phone:209-334-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA729572164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse