Individual
MR. GARDY F DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1700 S AMPHLETT BLVD, SAN MATEO, CA 94402-2701
(239) 304-6187
Mailing address
1700 S AMPHLETT BLVD, SAN MATEO, CA 94402-2701
(239) 304-6187
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
163W00000X
Registered Nurse
Primary
95422644
CA
Other
Enumeration date
06/02/2023
Last updated
03/31/2026
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