Individual
LARISSA PEECHIZ GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 WILDER RD, BAY CITY, MI 48706-2367
(989) 860-5176
Mailing address
3727 WILDER RD, BAY CITY, MI 48706-2367
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
MI
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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