Individual
CHRISTINE MALABANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12206 HOLM OAK DR, WALDORF, MD 20601-4522
(130) 188-5155
(301) 885-1558
Mailing address
12206 HOLM OAK DR, WALDORF, MD 20601-4522
13018851558
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R198338
MD
163WP0200X
Pediatric Registered Nurse
RN1025153
DC
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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