Provider Demographics
NPI:1750657763
Name:SILERIO, ANGELICA LLANA (LVN)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:LLANA
Last Name:SILERIO
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 1:30760 VIEW RIDGE LANE
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8988
Mailing Address - Country:US
Mailing Address - Phone:951-473-0521
Mailing Address - Fax:
Practice Address - Street 1:30760 VIEW RIDGE LANE
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8988
Practice Address - Country:US
Practice Address - Phone:951-473-0521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-25
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN241672164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse