Individual
CAROLINE CALLEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-4006
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024179626
VA
363LF0000X
Family Nurse Practitioner
Primary
95000490
CA
Other
Enumeration date
10/01/2015
Last updated
11/19/2020
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