Individual
MR. GERARDO MORA GALANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, PHN
Contact information
Practice address
1539 SHERMAN DR, CHULA VISTA, CA 91911-6928
(760) 586-5369
(619) 271-1820
Mailing address
1539 SHERMAN DR, CHULA VISTA, CA 91911-6928
(760) 586-5369
(619) 271-1820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
PHN 69298
CA
163WC0400X
Case Management Registered Nurse
PHN 69298
CA
163WC1500X
Community Health Registered Nurse
PHN 69298
CA
163WC1600X
Continuing Education/Staff Development Registered Nurse
PHN 69298
CA
163WH0200X
Home Health Registered Nurse
PHN 69298
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
PHN 69298
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
PHN 69298
CA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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