Individual provider · Type 1 NPI
Julissa Leonides Caraballo, NP
Adult Health Nurse Practitioner · San Diego, CA
NPI number
1730714007
Active
Practice location
4044 Promontory St
San Diego, CA 92109-5334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95005201 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1730714007
Julissa Leonides Caraballo, NP's National Provider Identifier is 1730714007, issued on Mar 7, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Diego, CA. The record was last updated on Mar 7, 2020.