Individual
JORGE L. CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1460 EDGAR ST, DUPONT, WA 98327-8783
(253) 302-4818
Mailing address
1460 EDGAR ST, DUPONT, WA 98327-8783
(253) 302-4818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005144
WA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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