CHARLES CARBALLO

TAMPA, FL
NPI1194020313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
-- CHARLES CARBALLO Psy D
2403 CORRINE ST
TAMPA, FL 33605-6540
Phone number: 813-298-9974
Mailing Address
-- CHARLES CARBALLO Psy D
2403 CORRINE ST
TAMPA, FL 33605-6540
Phone number: 813-298-9974