Provider Demographics
NPI:1447852280
Name:CARABALLO-STUDY, AUREA
Entity type:Individual
Prefix:MRS
First Name:AUREA
Middle Name:
Last Name:CARABALLO-STUDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 MARKS RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-8320
Mailing Address - Country:US
Mailing Address - Phone:330-591-0406
Mailing Address - Fax:
Practice Address - Street 1:2925 MARKS RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8320
Practice Address - Country:US
Practice Address - Phone:330-591-0406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care