Individual
ELISA GALLEGOS-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1947 CENTER ST, 2ND FLOOR, BERKELEY, CA 94704-1169
(510) 981-7684
(510) 981-5345
Mailing address
1947 CENTER ST, 2ND FLOOR, BERKELEY, CA 94704-1169
(510) 981-7684
(510) 981-5345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN493217
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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