Vera Ildefonso

NPI #1457705725 in Waterford, Michigan

Provider Information

NPI Number: 1457705725
Entity Type: Individual
Name: Vera Ildefonso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Apr 22, 2016
Last Updated: Apr 22, 2016

Practice Location

Address: 6484 LENNOX CT
City: Waterford
State: Michigan
ZIP Code: 48327-1414
Phone: (248) 310-6730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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