Individual
CONSTANCE CAMILLE GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
HARBOR-UCLA 1000 W. CARSON STREET, BLDG N25-ROOM E111, TORRANCE, CA 90502
(310) 222-4246
Mailing address
16931 BLUEWATER LANE, HUNTINGTON BEACH, CA 92649-2926
(562) 592-3732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
159764
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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