Individual
MARTHA A. GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 W ADAMS BLVD, LOS ANGELES, CA 90018-3515
(323) 731-3534
Mailing address
PO BOX 330804, PACOIMA, CA 91333-0804
(818) 974-8954
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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