Individual
JESUS GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13030 BRANDON ST, ANCHORAGE, AK 99515-3536
(907) 349-4222
Mailing address
13030 BRANDON ST, ANCHORAGE, AK 99515-3536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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