Individual
ENRIQUE GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 255-5874
Mailing address
3010 VINELAND AVE, APT. #12, BALDWIN PARK, CA 91706-5040
(626) 476-4444
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/13/2012
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