JULISSA LEONIDES CARABALLO

SAN DIEGO, CA
NPI1730714007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  95005201)
Enumeration Date2020-03-07
Last Update Date2020-03-07
Business Address
JULISSA LEONIDES CARABALLO NP
4044 PROMONTORY ST
SAN DIEGO, CA 92109-5334
Phone number: 917-757-2230
Mailing Address
JULISSA LEONIDES CARABALLO NP
4044 PROMONTORY ST
SAN DIEGO, CA 92109-5334
Phone number: 917-757-2230
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