Individual
MR. TIMOTHY DOMINICK GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9775 VERNON AVE, MONTCLAIR, CA 91763-2947
(909) 624-5036
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
(909) 624-5036
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230060100
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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