Individual
MS. JACQUELINE GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9475
(909) 421-9392
Mailing address
1624 W RIALTO AVE APT 244, FONTANA, CA 92335-1925
(909) 212-3331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
830714
CA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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