Individual
JOSE ELIAS GALEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342
(818) 485-0868
Mailing address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT38264
CA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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