Individual
ROXANNA ARELY CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTICTIONER
Contact information
Practice address
185 N DOUGLAS AVE, FRESNO, CA 93727-3637
(559) 260-7850
Mailing address
185 N DOUGLAS AVE, FRESNO, CA 93727-3637
(559) 260-7850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95014359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113
—
CA
Enumeration date
04/14/2020
Last updated
04/14/2020
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