Individual
RYAN CHARLES CARBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19469 PAR LN, HAMMOND, LA 70401-8242
(504) 239-7490
Mailing address
19469 PAR LN, HAMMOND, LA 70401-8242
(504) 239-7490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN147511
LA
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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