Individual
MR. JACOB CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A. CRIMINAL JUSTIC
Contact information
Practice address
880 E. IDAHO AVE, LAS CRUCES, NM 88001
(575) 527-7910
(575) 527-4457
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
03/31/2014
Last updated
03/31/2014
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