Healthcare Provider Details

I. General information

NPI: 1770401077
Provider Name (Legal Business Name): LORRAINE ESTHER CABALLERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N DEWITT AVE
CLOVIS CA
93612-1066
US

IV. Provider business mailing address

20 N DEWITT AVE
CLOVIS CA
93612-1066
US

V. Phone/Fax

Practice location:
  • Phone: 559-477-5546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberY6364206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: