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Individual

MRS. EDNA JANISSE CARABALLO-GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1802 SW MILITARY DR, SAN ANTONIO, TX 78221-1431
(210) 924-2337
(210) 923-2208
Mailing address
2961 MOSSROCK, SAN ANTONIO, TX 78230-5119
(210) 731-4800
(210) 731-4810

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15283
TX

Other

Enumeration date
02/23/2007
Last updated
03/29/2024
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