Individual
CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2509 JOHNSTON ST APT 7-06, LAFAYETTE, LA 70503-3261
(337) 889-8043
Mailing address
2509 JOHNSTON ST APT 7-06, LAFAYETTE, LA 70503-3261
(337) 889-8043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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