Individual
CHARIEVILLE BALAWANG CARCELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
33333 W 12 MILE RD STE A, FARMINGTON HILLS, MI 48334-3312
(248) 536-2127
(248) 893-6952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704381114
MI
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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