Individual
MR. MARLON CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
401 S FIRST ST, GALLUP, NM 87301-6213
(410) 963-6322
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R182515
MD
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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