Provider Demographics
NPI:1841816501
Name:ZAJAC, CRISTIANA PARIS
Entity type:Individual
Prefix:MS
First Name:CRISTIANA
Middle Name:PARIS
Last Name:ZAJAC
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 1:2654 WORDEN ST UNIT 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5849
Mailing Address - Country:US
Mailing Address - Phone:619-573-3954
Mailing Address - Fax:
Practice Address - Street 1:2654 WORDEN ST UNIT 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5849
Practice Address - Country:US
Practice Address - Phone:619-573-3954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA700314164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse