Provider Demographics
NPI:1962735944
Name:CABALBAG, FLORANTE LAMARCA (LAB TECH)
Entity type:Individual
Prefix:MR
First Name:FLORANTE
Middle Name:LAMARCA
Last Name:CABALBAG
Suffix:
Gender:M
Credentials:LAB TECH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2763 S 37TH DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-5983
Mailing Address - Country:US
Mailing Address - Phone:928-317-0062
Mailing Address - Fax:
Practice Address - Street 1:2763 S 37TH DR
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-5983
Practice Address - Country:US
Practice Address - Phone:928-317-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291900000XLaboratoriesMilitary Clinical Medical Laboratory