Individual
ALLY GANDULLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S BROOKHURST ST STE 104, ANAHEIM, CA 92804-3510
(714) 620-8131
Mailing address
631 S BROOKHURST ST STE 104, ANAHEIM, CA 92804-3510
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
06/21/2023
Last updated
02/16/2024
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