Provider Demographics
NPI:1871072249
Name:CABRAL-SINGH, MARIA CRISTINA JAMILLA (LVN)
Entity type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:JAMILLA
Last Name:CABRAL-SINGH
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SHELLIE CT
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-1547
Mailing Address - Country:US
Mailing Address - Phone:925-383-5336
Mailing Address - Fax:
Practice Address - Street 1:113 SHELLIE CT
Practice Address - Street 2:
Practice Address - City:BAY POINT
Practice Address - State:CA
Practice Address - Zip Code:94565-1547
Practice Address - Country:US
Practice Address - Phone:925-383-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA237396164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse