Individual
ANNIZA MICHELLE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
Mailing address
455 BERLAND WAY, CHULA VISTA, CA 91910-6422
(619) 534-1673
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
RADT
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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