Individual
GLENN RALLECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21615 BERENDO AVE, SUITE 600, TORRANCE, CA 90502-1800
(714) 744-1767
(951) 371-5062
Mailing address
21615 BERENDO AVE, SUITE 600, TORRANCE, CA 90502-1800
(714) 744-1767
(951) 371-5062
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN395986
CA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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