Provider Demographics
NPI:1871971143
Name:SILLAS, EVA (LVN)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:SILLAS
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 1:14035 LEFFINGWELL RD
Mailing Address - Street 2:501
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2628
Mailing Address - Country:US
Mailing Address - Phone:714-726-4805
Mailing Address - Fax:
Practice Address - Street 1:14035 LEFFINGWELL RD
Practice Address - Street 2:501
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2628
Practice Address - Country:US
Practice Address - Phone:714-726-4805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282602164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse