Individual
CARLY CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Mailing address
11574 HIGHWAY 1078, FOLSOM, LA 70437-3505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
337792
LA
Other
Enumeration date
04/03/2023
Last updated
07/07/2023
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