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Individual

BARIASA CAROLINE KANABOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
9890 COUNTY FARM RD BLDG 2, RIVERSIDE, CA 92503-3505
(951) 509-2499
Mailing address
8498 DAISY LN, RIVERSIDE, CA 92508-7103

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006727
CA

Other

Enumeration date
06/15/2017
Last updated
03/17/2018
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