Individual
MARK GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-9530
Mailing address
10440 PARAMOUNT BLVD APT F259, DOWNEY, CA 90241-2342
(626) 252-4366
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95112500
CA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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