Provider Demographics
NPI:1043068380
Name:EMOCLING VILORIA, IRENE
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:EMOCLING VILORIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6513 BLUE SPRUCE CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6240
Mailing Address - Country:US
Mailing Address - Phone:916-290-2710
Mailing Address - Fax:
Practice Address - Street 1:6513 BLUE SPRUCE CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6240
Practice Address - Country:US
Practice Address - Phone:916-290-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275031164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse