Provider Demographics
NPI:1265195986
Name:CABALLERO, JANICE MICHELLE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:MICHELLE
Last Name:CABALLERO
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 1:1241 BUSH ST APT 401
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5716
Mailing Address - Country:US
Mailing Address - Phone:415-684-6612
Mailing Address - Fax:
Practice Address - Street 1:1241 BUSH ST APT 401
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5716
Practice Address - Country:US
Practice Address - Phone:415-684-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula