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Individual

DARLA B GALLENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032-2502
(408) 523-3640
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A16481
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89133L1P
NC
05
89133UP
NC
05
Q0022B
SC
Enumeration date
05/02/2006
Last updated
12/10/2018
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