Provider Demographics
NPI:1720422264
Name:MAHONEY, CHRISTINA NICHOLE (CD(DONA))
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:NICHOLE
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25871 MIRAMONTE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5263
Mailing Address - Country:US
Mailing Address - Phone:949-285-9493
Mailing Address - Fax:
Practice Address - Street 1:25871 MIRAMONTE DR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-5263
Practice Address - Country:US
Practice Address - Phone:949-285-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-27
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9069374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula