Individual
JULIE CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 437-8393
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 437-8393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57762
RI
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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