Individual
VICTOR MANUEL GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6161
(805) 652-6164
Mailing address
PO BOX 6353, VENTURA, CA 93006-6353
(805) 652-6161
(805) 652-6164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PT34185
CA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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