Provider Demographics
NPI:1649792334
Name:SILVA, SONIA (LVN)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:702 CHAMPAGNE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:COLEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96107-9656
Mailing Address - Country:US
Mailing Address - Phone:626-922-1915
Mailing Address - Fax:
Practice Address - Street 1:702 CHAMPAGNE AVE APT B
Practice Address - Street 2:
Practice Address - City:COLEVILLE
Practice Address - State:CA
Practice Address - Zip Code:96107-9656
Practice Address - Country:US
Practice Address - Phone:626-922-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN281823164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse