Individual
LILLIAM PABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 825-4972
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(781) 233-9584
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
179433
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203401
—
MA
Enumeration date
12/18/2006
Last updated
05/23/2025
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