Individual
JUANA GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
5301 ROSS RD, DEL VALLE, TX 78617-3288
(512) 386-3335
Mailing address
121 TYRAH LN, BASTROP, TX 78602-3497
(512) 897-7163
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129176
TX
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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