Provider Demographics
NPI:1881849313
Name:RODRIGUEZ, MARY JOY BINAS (RN)
Entity Type:Individual
Prefix:MS
First Name:MARY JOY
Middle Name:BINAS
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 FRANKFORT CT
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-5529
Mailing Address - Country:US
Mailing Address - Phone:805-483-2127
Mailing Address - Fax:
Practice Address - Street 1:3430 FRANKFORT CT
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-5529
Practice Address - Country:US
Practice Address - Phone:805-483-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR.N. 586725163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse