Provider Demographics
NPI:1356193429
Name:CRISTOBAL, CHRISTINE JOYCE GLORIA (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINE JOYCE
Middle Name:GLORIA
Last Name:CRISTOBAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 CHALAN PALOSYO
Mailing Address - Street 2:
Mailing Address - City:AGANA HEIGHTS
Mailing Address - State:GU
Mailing Address - Zip Code:96910-6427
Mailing Address - Country:US
Mailing Address - Phone:671-475-0061
Mailing Address - Fax:671-475-0065
Practice Address - Street 1:400 ROUTE 8 STE 303
Practice Address - Street 2:
Practice Address - City:MAITE
Practice Address - State:GU
Practice Address - Zip Code:96910-2003
Practice Address - Country:US
Practice Address - Phone:671-475-0061
Practice Address - Fax:671-475-0065
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GURX0887163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse