Individual
GABRIELA ROMERO GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7254
Mailing address
968 L PORTER CT, CALEXICO, CA 92231-4120
(760) 562-6153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740512466
—
CA
Enumeration date
02/04/2010
Last updated
05/06/2010
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