Provider Demographics
NPI:1205410198
Name:ABABIO, MARILYN (MPA)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:ABABIO
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 PAGOSA CT
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4436
Mailing Address - Country:US
Mailing Address - Phone:510-303-1099
Mailing Address - Fax:
Practice Address - Street 1:3018 RAWSON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-3350
Practice Address - Country:US
Practice Address - Phone:510-686-1898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula