Provider Demographics
NPI:1356224067
Name:STANTON, MA CRISTINA LABAN
Entity type:Individual
Prefix:
First Name:MA CRISTINA
Middle Name:LABAN
Last Name:STANTON
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 1:2661 S DOLPHIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-5634
Mailing Address - Country:US
Mailing Address - Phone:626-327-6539
Mailing Address - Fax:
Practice Address - Street 1:2661 S DOLPHIN ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-5634
Practice Address - Country:US
Practice Address - Phone:626-327-6539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN749536164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse