Individual
MILA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4 BROTHERTON WAY, AUBURN, MA 01501-2684
(508) 832-5917
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 832-5751
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2291621
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2291621
MA
Other
Enumeration date
06/07/2017
Last updated
11/09/2020
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