Provider Demographics
NPI:1972355378
Name:PABON, KHRISTINA MARI
Entity Type:Individual
Prefix:
First Name:KHRISTINA
Middle Name:MARI
Last Name:PABON
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 1:3387 SAN SEVILLA CT
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-3704
Mailing Address - Country:US
Mailing Address - Phone:314-853-1304
Mailing Address - Fax:
Practice Address - Street 1:3387 SAN SEVILLA CT
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-3704
Practice Address - Country:US
Practice Address - Phone:314-853-1304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula