Individual
DEBORAH CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
6601 TENNYSON ST NE APT 5308, ALBUQUERQUE, NM 87111-8163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006948
NM
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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