Individual
JULINE NATALIA CARABALLO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 STONY POINT RD STE E, SANTA ROSA, CA 95401-4120
(707) 525-0211
(707) 525-0491
Mailing address
130 STONY POINT RD STE E, SANTA ROSA, CA 95401-4120
(707) 525-0211
(707) 525-0491
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A-155471
CA
Other
Enumeration date
07/07/2013
Last updated
08/04/2020
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