ANTONIO CARABALLO

PHILADELPHIA, PA
NPI1063209229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP032747)
Enumeration Date2025-04-22
Last Update Date2025-10-16
Business Address
ANTONIO CARABALLO
618 W LEHIGH AVE
PHILADELPHIA, PA 19133-2227
Phone number: 215-229-8857
Mailing Address
ANTONIO CARABALLO
2409 S LEE ST
PHILADELPHIA, PA 19148-4105
Phone number:
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